Austin Fishback
Austin Fishback is a Mental Health Counselor in Marion, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4505 W Deyoung St Ste 203CMarion, IL 62959-5899
Phone: (618) 283-2222
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1780259408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 25, 2021 |
| Last updated in NPPES | May 25, 2021 |
| Certification date | May 25, 2021 |
| Mailing address | 407 Bainbridge Rd, Marion, IL 62959-1313 |
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