Individual provider · Type 1 NPI

Santiago Fallon, LMHC

Mental Health Counselor · Longwood, FL

NPI number 1043360951 Active

Practice location

1385 W State Road 434, Suite 103
Longwood, FL 32750-6871

Fax (407) 332-6226

Mailing address

230 E. Panama Rd.
Winter Springs, FL 32708

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH7320 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1043360951

Santiago Fallon, LMHC's National Provider Identifier is 1043360951, issued on Jan 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longwood, FL. The record was last updated on Nov 3, 2011.