Provider Demographics
NPI:1689813438
Name:FAULKS, JANEL MARIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:JANEL
Middle Name:MARIE
Last Name:FAULKS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29328 VIA FRONTERA
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6070
Mailing Address - Country:US
Mailing Address - Phone:951-834-6827
Mailing Address - Fax:
Practice Address - Street 1:3503 CROMWELL CT
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-7345
Practice Address - Country:US
Practice Address - Phone:951-347-3630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA359071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical