Individual provider · Type 1 NPI

Herman Jason Falu Jr., LCDP

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1275823809 Active

Practice location

66 Burnett St
Providence, RI 02907-2527

Fax (401) 941-0089

Mailing address

70 Rugby St
Cranston, RI 02910-4415

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP000495 (RI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275823809

Herman Jason Falu Jr., LCDP's National Provider Identifier is 1275823809, issued on Apr 16, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on Apr 16, 2011.