Individual provider · Type 1 NPI

Marilyn Joyce Fettner, LCPC

Professional Counselor · Northbrook, IL

NPI number 1104157890 Active

Practice location

910 Skokie Blvd, Suite 107
Northbrook, IL 60062-4013

Mailing address

1963 Skyelar Ct
Highland Park, IL 60035-4322

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.008430 (IL)

Professional Counselor: Definition to come...

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About NPI 1104157890

Marilyn Joyce Fettner, LCPC's National Provider Identifier is 1104157890, issued on Jan 20, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Northbrook, IL. The record was last updated on Dec 31, 2012.