JOHN W FALLON

SAN JOSE, CA
NPI1518082601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A3537089)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- JOHN W FALLON CAADAC
2425 ENBORG LN
SAN JOSE, CA 95128-2648
Phone number: 408-885-5400
Mailing Address
-- JOHN W FALLON CAADAC
2425 ENBORG LN
SAN JOSE, CA 95128-2648
Phone number: 408-885-5400
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