Individual
ISABELLA FALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
533 PEACE PIPE RD, LAC DU FLAMBEAU, WI 54538-9123
(715) 588-1511
Mailing address
W2981 NORTH AVE, RIB LAKE, WI 54470-9704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20481-130
WI
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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