| Dr Tara Carlotta Fasol, LCPC | |
|
218 E Main St, West Frankfort, IL 62896-2406 | |
| (618) 242-6944 | |
| Not Available |
| Full Name | Dr Tara Carlotta Fasol |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 218 E Main St, West Frankfort, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265120554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180014503 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara Carlotta Fasol, LCPC 11599 S County Line Rd, West Frankfort, IL 62896-4954 Ph: (618) 923-5576 | Dr Tara Carlotta Fasol, LCPC 218 E Main St, West Frankfort, IL 62896-2406 Ph: (618) 242-6944 |
Harley T Roehm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 | |
Akiya D Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 | |
Emily Myers, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 | |
Helen Blackburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 | |
Angela Kaye Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-457-6703 | |
Kathleen Egelston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 | |
Debra L Richard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 W Main St, West Frankfort, IL 62896 Phone: 618-937-6483 Fax: 618-937-1440 |