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NPI Code Detail

MEDICARE: JADE A. FALONE MA, CRC

MEDICARE: JADE A. FALONE MA, CRC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1144625492
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE A. FALONE MA, CRC
Provider Business Mailing Address
First Line : 7320 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33637-0916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7320 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33637-0916
Country : US
Telephone Number : 813-433-0997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2014
Last Update Date : 01/15/2015

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