Individual provider · Type 1 NPI

Fallon Yvette Nicholas

Mental Health Counselor · Phoenix, AZ

NPI number 1104184399 Active

Practice location

2033 N 7th St
Phoenix, AZ 85006-2102

Fax (602) 452-4631

Mailing address

4747 N 7th St, Suite 100
Phoenix, AZ 85014-3653

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104184399

Fallon Yvette Nicholas's National Provider Identifier is 1104184399, issued on Apr 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 25, 2012.