Individual
MR. THOMAS ANTHONY FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADT
Contact information
Practice address
26845 POINT LOOKOUT RD STE 1, LEONARDTOWN, MD 20650-4935
(240) 577-9752
(443) 440-5780
Mailing address
43031 MEGAN LN, LEONARDTOWN, MD 20650-3530
(240) 577-9752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT3515
MD
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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