Individual
MRS. TELISA AMBER FEARS-FASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321-3530
(219) 595-0043
Mailing address
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321-3530
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002503A
IN
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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