Individual
FALLON YVETTE NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2033 N 7TH ST, PHOENIX, AZ 85006-2102
(602) 452-4630
(602) 452-4631
Mailing address
4747 N 7TH ST, SUITE 100, PHOENIX, AZ 85014-3653
(602) 279-7655
(602) 264-1806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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