Individual provider · Type 1 NPI

Destiny C. Faulconer

Mental Health Counselor · Vancouver, WA

NPI number 1467095877 Active

Practice location

1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 98661-3717

Call (360) 397-8484 Map

Fax (360) 397-8494

Mailing address

PO Box 1845
Vancouver, WA 98668-1845

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1467095877

Destiny C. Faulconer's National Provider Identifier is 1467095877, issued on Oct 18, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Oct 18, 2019.