Individual
CHASITY D. FAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
307 HENRY ST STE 401, ALTON, IL 62002-6326
(618) 465-9747
Mailing address
307 HENRY ST STE 401, ALTON, IL 62002-6326
(618) 465-9747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010705
IL
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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