Jewell, Beth Faulkner

Jewell, Beth Faulkner is an sole proprietor health care provider with primary practice located at 8311 Red Willow Dr , Austin TX 78736-1721. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jewell, Beth Faulkner can be contacted via phone (512) 534-5429.

Contact Information

Primary practice address
8311 Red Willow Dr Austin TX 78736-1721
Phone: (512) 534-5429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 16089 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 16089 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 16089 Texas

Profile Details

NPI number 1437325495
LBN Legal business name Jewell, Beth Faulkner
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2008
Last updated Aug 8th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437325495 NPPES
Texas MEDICAID 148657302

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