IndividualActive
Angelia Faller
NPI 1194392282 · Professional Counselor · Polo, IL
Provider details
- NPI number
- 1194392282
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 178.016996 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
100 S Union Ave
Polo, IL 61064-1724
Phone: (815) 946-3314
Approximate (ZIP-level) locationGet directions
Mailing address
100 S Union Ave
Polo, IL 61064-1724
Registry dates
- Enumerated
- 2021-06-07
- Last updated
- 2021-06-07
- Certified
- 2021-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.