Individual provider · Type 1 NPI

Mary Faulk

Counselor · San Diego, CA

NPI number 1720129059 Active

Practice location

2535 Kettner Blvd Ste 1A4
San Diego, CA 92101-1252

Fax (619) 615-0705

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1720129059

Mary Faulk's National Provider Identifier is 1720129059, issued on Feb 9, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.