Provider Demographics
NPI:1619342193
Name:FALLETTA, MARGARET (MS, NCC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:FALLETTA
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 WABASH AVE
Mailing Address - Street 2:
Mailing Address - City:PHILIPPI
Mailing Address - State:WV
Mailing Address - Zip Code:26416-0019
Mailing Address - Country:US
Mailing Address - Phone:304-457-1670
Mailing Address - Fax:
Practice Address - Street 1:109 WABASH AVE
Practice Address - Street 2:
Practice Address - City:PHILIPPI
Practice Address - State:WV
Practice Address - Zip Code:26416-0019
Practice Address - Country:US
Practice Address - Phone:304-457-1670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor