Organization
FALLON FAMILY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CONSTANCE FALLON MSW (SOCIAL WORKER)
(603) 682-8404
Entity
Organization
Contact information
Practice address
131 MAIN ST, EPPING, NH 03042-2466
(603) 682-8404
Mailing address
131 MAIN ST, EPPING, NH 03042-2466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122989
—
NH
Enumeration date
05/13/2020
Last updated
08/09/2020
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