Individual provider · Type 1 NPI
Kathleen Cole Fallon, MS LCPC NCC
Mental Health Counselor · Portland, ME
NPI number
1184050866
Active
Practice location
550 Forest Ave, Suite 200
Portland, ME 04101-1505
Mailing address
1414 Forest Ave, Unit 9
Portland, ME 04103-1161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CC2761 (ME) |
Mental Health Counselor: Definition to come...
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About NPI 1184050866
Kathleen Cole Fallon, MS LCPC NCC's National Provider Identifier is 1184050866, issued on Sep 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, ME. The record was last updated on Sep 25, 2013.