DR. Tara Carlotta Fasol, LCPC
NPI #1265120554 in West Frankfort, Illinois
Provider Information
- NPI Number
- 1265120554
- Entity Type
- Individual
- Name
- DR. Tara Carlotta Fasol, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Apr 25, 2023
- Last Updated
- Apr 25, 2023
Practice Location
- Address
- 218 E MAIN ST
- City
- West Frankfort
- State
- Illinois
- ZIP Code
- 62896-2406
- Phone
- (618) 242-6944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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