Individual
GARY FALSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13377 SMITH RD, CLEVELAND, OH 44130-7810
(440) 340-5558
Mailing address
13377 SMITH RD, CLEVELAND, OH 44130-7810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183275
OH
101YM0800X
Mental Health Counselor
C2103434-TRNE
OH
Other
Enumeration date
09/27/2021
Last updated
06/26/2024
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