Individual provider · Type 1 NPI

Paul William Fearday, BA MHP

Mental Health Counselor · Mattoon, IL

NPI number 1215089123 Active

Practice location

750 Broadway Ave E
Mattoon, IL 61938-4610

Fax (217) 238-5767

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215089123

Paul William Fearday, BA MHP's National Provider Identifier is 1215089123, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mattoon, IL. The record was last updated on Nov 20, 2007.