Gary Falstad
Counselor, Addiction (Substance Use Disorder) in Cleveland, OH. Individual provider (NPI-1).
NPI number1447921770
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1447921770
- Entity type
- Individual (NPI-1)
- Name
- Gary Falstad
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2021
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.183275 | OH | Yes |
| 101YM0800X | Counselor, Mental Health | C2103434-TRNE | OH |
Practice location
13377 Smith RdCleveland, OH 44130-7810
Phone 440-340-5558
Mailing address
13377 Smith RdCleveland, OH 44130-7810
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