location
search-icon
person
Walter Fasken
Addiction (Substance Use Disorder) Counselor in La Salle, Illinois
NPI 1003538950

Walter Fasken is an Addiction (Substance Use Disorder) Counselor based in Bridgeview, IL and is specialized in Addiction (Substance Use Disorder). Walter Fasken practices in La Salle, IL. The NPI Number for Walter Fasken is 1003538950 and holds a License No. 36350 (Illinois).

The current practice location address for Walter Fasken is 111 Bucklin St Ste 1, La Salle, IL and can be reached out via phone at 815-780-0690.

Location: 111 Bucklin St Ste 1, La Salle, IL, 60455-1323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003538950
Provider Name
Walter Fasken
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 Bucklin St Ste 1, La Salle, IL, 60455-1323
Phone Number
815-780-0690
Fax Number
Provider Enumeration Date
09/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Bucklin St Ste 1
City
La Salle
State
Illinois
Zip
61301-2382
Phone Number
815-780-0690
Fax Number
person
Provider Business Mailing Address Details
Address
111 Bucklin St Ste 1
City
La Salle
State
Illinois
Zip
61301-2382
Phone Number
815-780-0690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
36350 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.