DEREK FAULKNER

INDEPENDENCE, MO
NPI1437693561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2015026806)
Enumeration Date2016-12-08
Last Update Date2016-12-08
Business Address
-- DEREK FAULKNER
2400 LITTLE BLUE PKWY
INDEPENDENCE, MO 64057
Phone number: 615-483-7009
Mailing Address
-- DEREK FAULKNER
3861 N MULBERRY DR APT 2403
KANSAS CITY, MO 64116-1877
Phone number: