Individual
DANIEL J FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
19 BASSETT ST, SUITE 203, NEW BRITAIN, CT 06051-3034
(860) 357-5532
(860) 357-5538
Mailing address
PO BOX 162, NEW BRITAIN, CT 06050-0162
(860) 357-5532
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000392
CT
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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