Individual provider · Type 1 NPI

Jessica Charette Fallon

Mental Health Counselor · Springfield, MA

NPI number 1760739353 Active

Practice location

130 Maple St, Suite 325
Springfield, MA 01103-2202

Mailing address

14 Highland Ave, Apt. 13D
Vernon, CT 06066-3486

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1760739353

Jessica Charette Fallon's National Provider Identifier is 1760739353, issued on Aug 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MA. The record was last updated on Aug 14, 2012.