Individual
FALON M KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1706 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3614
(612) 326-7616
Mailing address
1706 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3614
(612) 326-7616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302956
MN
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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