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Fallon Clayton I
Mental Health Counselor in Vienna, Illinois
NPI 1811348451

Fallon Clayton I is a Mental Health Counselor based in Anna, IL and is specialized in Mental Health. Fallon Clayton I practices in Vienna, IL. The NPI Number for Fallon Clayton I is 1811348451 and holds a License No. (Illinois).

The current practice location address for Fallon Clayton I is 101 Oliver St, Vienna, IL and can be reached out via phone at 618-658-2611.

Location: 101 Oliver St, Vienna, IL, 62906-3560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811348451
Provider Name
Fallon Clayton I
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Oliver St, Vienna, IL, 62906-3560
Phone Number
618-658-2611
Fax Number
Provider Enumeration Date
06/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Oliver St
City
Vienna
State
Illinois
Zip
62995-1660
Phone Number
618-658-2611
Fax Number
person
Provider Business Mailing Address Details
Address
101 Oliver St
City
Vienna
State
Illinois
Zip
62995-1660
Phone Number
618-658-2611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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