FALLON YVETTE NICHOLAS

PHOENIX, AZ
NPI1104184399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-04-25
Last Update Date2012-04-25
Business Address
FALLON YVETTE NICHOLAS
2033 N 7TH ST
PHOENIX, AZ 85006-2102
Phone number: 602-452-4630
Mailing Address
FALLON YVETTE NICHOLAS
4747 N 7TH ST SUITE 100
PHOENIX, AZ 85014-3653
Phone number: 602-279-7655