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Gideon Lee Faulconer
Mental Health Counselor in Vancouver, Washington
NPI 1194375105

Gideon Lee Faulconer is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Gideon Lee Faulconer practices in Vancouver, WA. The NPI Number for Gideon Lee Faulconer is 1194375105 and holds a License No. (Washington).

The current practice location address for Gideon Lee Faulconer is 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA and can be reached out via phone at 360-397-8484.

Location: 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA, 98668-1845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194375105
Provider Name
Gideon Lee Faulconer
Credential
Provider Entity Type
Individual
Gender
Male
Address
1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA, 98668-1845
Phone Number
360-397-8484
Fax Number
Provider Enumeration Date
09/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 E Fourth Plain Blvd Bldg 17
City
Vancouver
State
Washington
Zip
98661-3717
Phone Number
360-397-8484
Fax Number
person
Provider Business Mailing Address Details
Address
1601 E Fourth Plain Blvd Bldg 17
City
Vancouver
State
Washington
Zip
98661-3717
Phone Number
360-397-8484
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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