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Clarence G Faulk SR.
Peer Specialist in Kenova, West Virginia
NPI 1952037954

Clarence G Faulk SR. is a Peer Specialist based in Kenova, WV. Clarence G Faulk SR. practices in Kenova, WV. The NPI Number for Clarence G Faulk SR. is 1952037954 and holds a License No. (West Virginia).

The current practice location address for Clarence G Faulk SR. is 802 Oak St, Kenova, WV and can be reached out via phone at 304-908-1056.

Location: 802 Oak St, Kenova, WV, 25530-1519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952037954
Provider Name
Clarence G Faulk SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
802 Oak St, Kenova, WV, 25530-1519
Phone Number
304-908-1056
Fax Number
Provider Enumeration Date
08/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
802 Oak St
City
Kenova
State
West Virginia
Zip
25530-1519
Phone Number
304-908-1056
Fax Number
person
Provider Business Mailing Address Details
Address
802 Oak St
City
Kenova
State
West Virginia
Zip
25530-1519
Phone Number
304-908-1056
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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