FABIAN TASSON L.C.P.C.
NPI 1447425863
Counselor - Mental Health in Springfield, IL
Active since April 27, 2008
3000 PROFESSIONAL DR STE A, SPRINGFIELD, IL 62703(217) 793-9593(217) 793-6949 Get Directions Write a Review
About Fabian Tasson L.c.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FABIAN TASSON L.C.P.C. (NPI 1447425863) is an individual mental health provider in Springfield, Illinois, licensed in Illinois (180002118) and active in the NPI registry since April 2008.
NPPES Registry Identity
NPI1447425863
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameFABIAN TASSONCredential: L.C.P.C.
Location Address3000 PROFESSIONAL DR STE ASpringfield, IL 62703-5943
Mailing Address3000 Professional Dr Ste ASpringfield, IL 62703-5943 · (217) 793-9593 · Fax (217) 793-6949
Phone(217) 793-9593
Fax(217) 793-6949
Sole ProprietorNo
Enumeration DateApril 27, 2008
✔ NPI 1447425863 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180002118
3000 PROFESSIONAL DR STE A, Springfield, IL 62703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447425863, enumerated as an "individual" on April 27, 2008.
The provider is located at 3000 PROFESSIONAL DR STE A SPRINGFIELD, IL 62703 and the phone number is (217) 793-9593.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
