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NPI Code Detail

MEDICARE: MRS. DANIELLE M FALL MA LLC

MEDICARE: MRS. DANIELLE M FALL MA LLC
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 Counselor6401223732MI

General Provider Information

NPI Number : 1306427208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE M FALL MA LLC
Provider Business Mailing Address
First Line : 3424 CHICAGO DR STE 205
Second Line :
City : HUDSONVILLE
State : MI
Zip : 49426-1411
Country : US
Telephone Number : 616-426-9034
Fax Number :
Provider Business Practice Location Address
First Line : 3424 CHICAGO DR STE 205
Second Line :
City : HUDSONVILLE
State : MI
Zip : 49426-1411
Country : US
Telephone Number : 616-426-9034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2021
Last Update Date : 03/04/2026

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