Individual provider · Type 1 NPI

Eric C. Fawson, MSW LCSW

Mental Health Counselor · Panguitch, UT

NPI number 1609120120 Active

Practice location

103 East Blue Meadow Circle
Panguitch, UT 84759-1042

Mailing address

PO Box 1042
Panguitch, UT 84759-1042

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X59138793501 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1609120120

Eric C. Fawson, MSW LCSW's National Provider Identifier is 1609120120, issued on Nov 6, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Panguitch, UT. The record was last updated on Nov 6, 2012.