Individual
ANDREW J FALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
816 W 10TH ST, MEDFORD, OR 97501-3016
(541) 734-5437
Mailing address
816 W 10TH ST, MEDFORD, OR 97501-3016
(541) 734-5437
(541) 734-2425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2021
Last updated
07/21/2025
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