Fallon Tyger Macphail

NPI #1447529623 in West End, North Carolina

Provider Information

NPI Number: 1447529623
Entity Type: Individual
Name: Fallon Tyger Macphail
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 18, 2011
Last Updated: Dec 18, 2011

Practice Location

Address: 241 GRANT ST
City: West End
State: North Carolina
ZIP Code: 27376-8377
Phone: (910) 673-3535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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