Search › Illinois › Addiction (Substance Use Disorder) Counselor
Walter Fasken
NPI 1003538950 · on the registry since 2022
Practice
- Address
- 111 Bucklin St Ste 1
La Salle, IL 61301 - Phone
- (815) 780-0690
- Organisation at this address
- Restorative Home Health Care, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois