Individual
ASHLEY E FAZEKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C
Contact information
Practice address
9031 W 151ST ST STE 102, ORLAND PARK, IL 60462-6562
(708) 460-2111
Mailing address
9031 W 151ST ST, ORLAND PARK, IL 60462-6540
(708) 460-2111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178014917
IL
101YM0800X
Mental Health Counselor
Primary
180.015129
IL
Other
Enumeration date
05/21/2019
Last updated
05/04/2023
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