Provider Information for 1811744725
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FALLON HANDLEY LCPC
Sex: Female
NPI: 1811744725
Last Updated: 2024-04-30
Certification Date: 2024-04-22
Certification Date: 2024-04-22
Details
| Name | Value | ||||||||||||
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| NPI | 1811744725 | ||||||||||||
| Enumeration Date | 2024-04-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 1032 MALTA, MT 59538-1032 United States Phone: 406-654-4458 | Fax: | ||||||||||||
| Primary Practice Address | 208 GREEN ACRES DR MALTA, MT 59538 United States Phone: 406-654-4458 | Fax: | ||||||||||||
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