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Austin Fishback
Mental Health Counselor in Marion, Illinois
NPI 1780259408

Austin Fishback is a Mental Health Counselor based in Marion, IL and is specialized in Mental Health. Austin Fishback practices in Marion, IL. The NPI Number for Austin Fishback is 1780259408 and holds a License No. (Illinois).

The current practice location address for Austin Fishback is 4505 W Deyoung St Ste 203C, Marion, IL and can be reached out via phone at 618-283-2222.

Location: 4505 W Deyoung St Ste 203C, Marion, IL, 62959-1313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780259408
Provider Name
Austin Fishback
Credential
Provider Entity Type
Individual
Gender
Male
Address
4505 W Deyoung St Ste 203C, Marion, IL, 62959-1313
Phone Number
618-283-2222
Fax Number
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4505 W Deyoung St Ste 203C
City
Marion
State
Illinois
Zip
62959-5899
Phone Number
618-283-2222
Fax Number
person
Provider Business Mailing Address Details
Address
4505 W Deyoung St Ste 203C
City
Marion
State
Illinois
Zip
62959-5899
Phone Number
618-283-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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