Individual
JENNIFER E FASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
3169 2ND AVE E, BIG STONE GAP, VA 24219-3805
(276) 523-8300
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1269
KY
101Y00000X
Counselor
Primary
—
TN
Other
Enumeration date
03/25/2008
Last updated
09/17/2012
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