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Individual

DANA FALLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
4 JOSEPH AVE, BETHPAGE, NY 11714-5104
(516) 850-2085
Mailing address
4 JOSEPH AVE, BETHPAGE, NY 11714-5104
(516) 850-2085

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004705
NY

Other

Enumeration date
04/30/2022
Last updated
04/30/2022
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