Individual
CARL TIMOTHY FALLARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1335 DUBLIN RD, COLUMBUS, OH 43215-1000
(614) 538-0353
Mailing address
5254 CAPE COD LN, COLUMBUS, OH 43235-4007
(614) 459-8427
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1700731-TRNE
OH
101YM0800X
Mental Health Counselor
Primary
C.1700731-TRNE
OH
Other
Enumeration date
12/30/2019
Last updated
11/27/2023
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