HERMAN JASON FALU

PROVIDENCE, RI
NPI1275823809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP000495)
Enumeration Date2011-04-16
Last Update Date2011-04-16
Business Address
Mr. HERMAN JASON FALU LCDP
66 BURNETT ST
PROVIDENCE, RI 02907-2527
Phone number: 401-785-0050
Mailing Address
Mr. HERMAN JASON FALU LCDP
70 RUGBY ST
CRANSTON, RI 02910-4415
Phone number: 401-523-7520
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