| Mr Herman Jason Falu Jr, LCDP | |
|
66 Burnett St, Providence, RI 02907-2527 | |
| (401) 785-0050 | |
| (401) 941-0089 |
| Full Name | Mr Herman Jason Falu Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 66 Burnett St, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275823809 | NPI | - | NPPES |
| CDP000495 | Other | RI | RHODE ISLAND DEPARTMENT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDP000495 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Herman Jason Falu Jr, LCDP 70 Rugby St, Cranston, RI 02910-4415 Ph: (401) 523-7520 | Mr Herman Jason Falu Jr, LCDP 66 Burnett St, Providence, RI 02907-2527 Ph: (401) 785-0050 |
Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500 | |
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788 | |
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089 | |
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955 | |
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100 | |
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 | |
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110 |