Lookup NPI Numbers from the NPI Registry
NPI Profile for FALLON K LEISETH in WILLISTON, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1104467174 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/01/2019 | |
| Last updated | 11/12/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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FALLON K LEISETH
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FALLON K LEISETH