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NPI Code Detail

MEDICARE: MS. REBECCA ANN FAULK MED., CRC, LPC

MEDICARE: MS. REBECCA ANN FAULK MED., CRC, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPC000856PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598740862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA ANN FAULK MED., CRC, LPC
Provider Business Mailing Address
First Line : 109 S MARKET ST
Second Line : LIGONIER VALLEY LEARNING CENTER INC
City : LIGONIER
State : PA
Zip : 15658-1214
Country : US
Telephone Number : 724-238-0355
Fax Number : 724-238-0352
Provider Business Practice Location Address
First Line : 117 JUNIPER LN
Second Line : LIGONIER VALLEY LEARNING CENTER INC
City : LIGONIER
State : PA
Zip : 15658-9727
Country : US
Telephone Number : 724-238-5556
Fax Number : 724-238-9533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1881680551 — LIGONIER VALLEY LEARNING CENTER, INC
Practice Location Address:
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1437131893 — MS. ANNE M HALL M.ED., CRC, LPC
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1215911482 — MS. GLORIA CZERPAK LSW
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1356328876 — MR. JOSEPH ALTMAN M.ED., LPC
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1013994037 — MS. MIRIAM DAVIES M.ED., NCSP
Practice Location Address:
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1336184035 — MARGARET R BOERIO IV DO
Practice Location Address:
117 JUNIPER LN
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Practice Fax: 724-238-0352

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