Individual provider · Type 1 NPI

Lindsey Nicole Fogliasso

Mental Health Counselor · Centralia, IL

NPI number 1245721588 Active

Practice location

904 East Mlk Dr.
Centralia, IL 62801

Call (618) 533-1391 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245721588

Lindsey Nicole Fogliasso's National Provider Identifier is 1245721588, issued on May 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, IL. The record was last updated on May 22, 2018.