Mr Herman Jason Falu Jr, LCDP - Counselor in Providence, RI

Mr Herman Jason Falu Jr, LCDP is a Counselor - Addiction (substance Use Disorder) based in Providence, Rhode Island. Mr Herman Jason Falu Jr is licensed to practice in Rhode Island (license number CDP000495) and his current practice location is 66 Burnett St, Providence, Rhode Island. He can be reached at his office (for appointments etc.) via phone at (401) 785-0050.

NPI number for Mr Herman Jason Falu Jr is 1275823809 and his current mailing address is 70 Rugby St, Cranston, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275823809.

Contact Information

Mr Herman Jason Falu Jr, LCDP
66 Burnett St,
Providence, RI 02907-2527
(401) 785-0050
(401) 941-0089

Map and Direction


Healthcare Provider's Profile

Full NameMr Herman Jason Falu Jr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location66 Burnett St, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275823809
  • Provider Enumeration Date: 04/16/2011
  • Last Update Date: 04/16/2011

Medical Identifiers

Medical identifiers for Mr Herman Jason Falu Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275823809NPI-NPPES
CDP000495OtherRIRHODE ISLAND DEPARTMENT OF HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CDP000495 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Herman Jason Falu Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Herman Jason Falu Jr, LCDP
70 Rugby St,
Cranston, RI 02910-4415

Ph: (401) 523-7520
Mr Herman Jason Falu Jr, LCDP
66 Burnett St,
Providence, RI 02907-2527

Ph: (401) 785-0050

Reviews and Comments


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