Individual
MR. ERIC JOHN FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.H.C
Contact information
Practice address
232 NORTHUP ST, CRANSTON, RI 02905-4215
(401) 592-2345
Mailing address
232 NORTHUP ST, CRANSTON, RI 02905-4215
(401) 592-2345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00787
RI
Other
Enumeration date
06/28/2016
Last updated
06/29/2016
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