DR. TARA CARLOTTA FASOL LCPC NPI 1265120554

NPI Information

NPI: 1265120554
Provider Name: DR. TARA CARLOTTA FASOL, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
218 E MAIN ST
WEST FRANKFORT, IL
ZIP 62896
Phone: (618) 242-6944
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DR. Tara Carlotta Fasol, LCPC is a professional counselor in West Frankfort, IL. DR. Tara Carlotta Fasol, LCPC NPI is 1265120554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

218 E MAIN ST
WEST FRANKFORT, IL
ZIP 62896-406
Phone: (618) 242-6944

The enumeration date for this NPI number is 4/25/2023 and was last updated on 4/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180014503	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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