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General NPI Number Information
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NPI Number | 1033303375
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Entity Type | Organization
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Legal Business Name | GLENDA FAULKNER COUNSELING, PLLC
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 1117 BEDFORD RD SUITE C
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City | BEDFORD
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State | TX
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Zip | 76022-6694
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Country | US
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Telephone | 972-318-0256
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Fax | 817-285-1717
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Provider Business Mailing Address
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Address Line | 1117 BEDFORD RD SUITE C
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City | BEDFORD
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State | TX
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Zip | 76022-6694
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Country | US
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Telephone | 972-318-0256
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Fax | 817-285-1717
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | GLENDA JEAN FAULKNER
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Credential | MA, LPC
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Telephone | 214-923-8712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 15239
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License Number State | TX
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