Russell Wayne Fallin
Russell Wayne Fallin is an Addiction (Substance Use Disorder) Counselor in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.
- Licensed in
- NE
- In the registry since
- 2021
Practice location Address checks out
1941 S 42nd St Ste 210Omaha, NE 68105-2946
Phone: (402) 341-6220
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1106 (NE) |
|---|
Record details
| NPI number | 1235712548 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2021 |
| Last updated in NPPES | May 4, 2021 |
| Certification date | May 4, 2021 |
| Mailing address | 124 N 38th Ave Apt 1, Omaha, NE 68131-2384 |
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