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Individual
MR. JEREMY JAMES FALGOUT
Active
Individual
MR. JEREMY JAMES FALGOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101YM0800X
Mental Health Counselor
Primary
PC011729
PA
Other
Enumeration date
01/01/2016
Last updated
06/13/2023
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