Individual provider · Type 1 NPI

Fallon Clayton I

Mental Health Counselor · Vienna, IL

NPI number 1811348451 Active

Practice location

101 Oliver St
Vienna, IL 62995-1660

Mailing address

2560 Friendship School Rd
Anna, IL 62906-3560

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811348451

Fallon Clayton I's National Provider Identifier is 1811348451, issued on Jun 24, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vienna, IL. The record was last updated on Jun 24, 2016.