Individual
ALEX EUGENE FABINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1505 KLA-OOK-WA DRIVE, TAHOLAH, WA 98587
(360) 276-8215
(360) 276-4104
Mailing address
PO BOX 219, TAHOLAH, WA 98587-0219
(360) 276-8215
(360) 276-4104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.004907
IL
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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