Individual
FALLON O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADC
Contact information
Practice address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(609) 837-4300
Mailing address
2701 RENAISSANCE BLVD FL 4, KING OF PRUSSIA, PA 19406-2781
(610) 994-2993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00266200
NJ
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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