Individual provider · Type 1 NPI

Austin Fishback

Mental Health Counselor · Marion, IL

NPI number 1780259408 Active

Practice location

4505 W Deyoung St Ste 203C
Marion, IL 62959-5899

Mailing address

407 Bainbridge Rd
Marion, IL 62959-1313

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780259408

Austin Fishback's National Provider Identifier is 1780259408, issued on May 25, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marion, IL. The record was last updated on May 25, 2021.