Walter Fasken
Walter Fasken is an Addiction (Substance Use Disorder) Counselor in LA Salle, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
111 Bucklin St Ste 1LA Salle, IL 61301-2382
Phone: (815) 780-0690
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 36350 (IL) |
|---|
Record details
| NPI number | 1003538950 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 16, 2022 |
| Last updated in NPPES | November 4, 2022 |
| Certification date | November 4, 2022 |
| Mailing address | 7648 S Oconto Ave, Bridgeview, IL 60455-1323 |
Other providers in LA Salle
-
Kim Goodhand
111 Bucklin St Ste 1, LA Salle, IL 61301-2382 · (815) 780-0690
-
MS. Janet Christyne Hutchins, CADC
111 Bucklin St Ste 2, LA Salle, IL 61301-2382 · (815) 780-0690