TARA CARLOTTA FASOL

WEST FRANKFORT, IL
NPI1265120554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180014503)
Enumeration Date2023-04-25
Last Update Date2023-04-25
Business Address
Dr. TARA CARLOTTA FASOL LCPC
218 E MAIN ST
WEST FRANKFORT, IL 62896-2406
Phone number: 618-242-6944
Mailing Address
Dr. TARA CARLOTTA FASOL LCPC
11599 S COUNTY LINE RD
WEST FRANKFORT, IL 62896-4954
Phone number: 618-923-5576