Healthcare Provider Details

I. General information

NPI: 1609906965
Provider Name (Legal Business Name): CHRISTOPHER FAULKNER LPCMH, CADC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 S STATE STREET ALY
DOVER DE
19904-7348
US

IV. Provider business mailing address

156 S STATE STREET ALY
DOVER DE
19904-7348
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-2380
  • Fax: 302-674-1299
Mailing address:
  • Phone: 302-674-2380
  • Fax: 302-674-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0000623
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number351
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: