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Mr. Herman Jason Falu JR., LCDP
Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island
NPI 1275823809

Herman Jason Falu JR. is an Addiction (Substance Use Disorder) Counselor based in Cranston, RI and is specialized in Addiction (Substance Use Disorder). Herman Jason Falu JR. practices in Providence, RI and has the professional credentials of LCDP. The NPI Number for Herman Jason Falu JR. is 1275823809 and holds a License No. CDP000495 (Rhode Island).

The current practice location address for Herman Jason Falu JR. is 66 Burnett St, Providence, RI and can be reached out via phone at 401-785-0050 and via fax at 401-941-0089.

Location: 66 Burnett St, Providence, RI, 02910-4415
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Provider Profile Details
NPI Number
1275823809
Provider Name
Herman Jason Falu JR.
Credential
LCDP
Provider Entity Type
Individual
Gender
Male
Address
66 Burnett St, Providence, RI, 02910-4415
Phone Number
401-785-0050
Fax Number
401-941-0089
Provider Enumeration Date
04/16/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CDP000495 01 RI RHODE ISLAND DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
66 Burnett St
City
State
Zip
02907-2527
Phone Number
401-785-0050
Fax Number
401-941-0089
person
Provider Business Mailing Address Details
Address
66 Burnett St
City
State
Zip
02907-2527
Phone Number
401-785-0050
Fax Number
401-941-0089
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDP000495 (Rhode Island)
Definition
Definition to come...
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