MEDICARE: MR. DAVID FALBO JR. M.S., NCC, LPC

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
1	101YP2500X	Professional Counselor	PC008428	PA

General Provider Information

NPI Number	:	1710352380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID FALBO JR. M.S., NCC, LPC

Provider Business Mailing Address
First Line	:	4101 BIRNEY AVE
Second Line	:
City	:	MOOSIC
State	:	PA
Zip	:	18507-1323
Country	:	US
Telephone Number	:	570-961-3361
Fax Number	:	570-961-3364

Provider Business Practice Location Address
First Line	:	1509 N MAIN AVE
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18508-1866
Country	:	US
Telephone Number	:	570-961-3361
Fax Number	:	570-961-3364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2015
Last Update Date	:	12/08/2015

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