GIDEON LEE FAULCONER

VANCOUVER, WA
NPI1194375105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2019-09-12
Last Update Date2019-09-12
Business Address
GIDEON LEE FAULCONER
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-397-8484
Mailing Address
GIDEON LEE FAULCONER
PO BOX 1845
VANCOUVER, WA 98668-1845
Phone number:
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