Individual
MR. DOMINIC FALSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3846 VILLA DR, SALT LAKE CITY, UT 84109
(801) 652-2745
Mailing address
3846 S VILLA DR, SALT LAKE CITY, UT 84109-4045
(801) 652-2745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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