person
Dr. Tara Carlotta Fasol, LCPC
Professional Counselor in West Frankfort, Illinois
NPI 1265120554

Tara Carlotta Fasol is a Professional Counselor based in West Frankfort, IL and is specialized in Professional. Tara Carlotta Fasol practices in West Frankfort, IL and has the professional credentials of LCPC. The NPI Number for Tara Carlotta Fasol is 1265120554 and holds a License No. 180014503 (Illinois).

The current practice location address for Tara Carlotta Fasol is 218 E Main St, West Frankfort, IL and can be reached out via phone at 618-242-6944.

Location: 218 E Main St, West Frankfort, IL, 62896-4954
person
Provider Profile Details
NPI Number
1265120554
Provider Name
Tara Carlotta Fasol
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
218 E Main St, West Frankfort, IL, 62896-4954
Phone Number
618-242-6944
Fax Number
Provider Enumeration Date
04/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
218 E Main St
City
State
Zip
62896-2406
Phone Number
618-242-6944
Fax Number
person
Provider Business Mailing Address Details
Address
218 E Main St
City
State
Zip
62896-2406
Phone Number
618-242-6944
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180014503 (Illinois)
Definition
Definition to come...
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