Walter Fasken

NPI #1003538950 in La Salle, Illinois

Provider Information

NPI Number
1003538950
Entity Type
Individual
Name
Walter Fasken
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Sep 16, 2022
Last Updated
Nov 4, 2022

Practice Location

Address
111 BUCKLIN ST STE 1
ZIP Code
61301-2382
Phone
(815) 780-0690

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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