Individual provider · Type 1 NPI
Fantasia Lauri Eason, MSW
Professional Counselor · Springfield, MA
NPI number
1720553563
Active
Practice location
140 High St Ste 230
Springfield, MA 01199-1006
Mailing address
200 Yale St Unit 15A
Waterbury, CT 06704-1564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1720553563
Fantasia Lauri Eason, MSW's National Provider Identifier is 1720553563, issued on Oct 8, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MA. The record was last updated on Oct 8, 2018.