Individual
MR. JEREMY JAMES FALGOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,NCC
Contact information
Practice address
628 TWIN PONDS RD, BREINIGSVILLE, PA 18031-1843
(484) 373-9309
Mailing address
628 TWIN PONDS RD, BREINIGSVILLE, PA 18031-1843
(484) 373-9309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
PC011729
PA
Other
Enumeration date
01/01/2016
Last updated
06/13/2023
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