Individual
GABRIELLE FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 513-1278
Mailing address
210 ATLANTIC AVE, NORTH MIDDLETOWN, NJ 07748-5706
(732) 513-1278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00650600
NJ
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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