Individual provider · Type 1 NPI
Shontae L. Fisher
Mental Health Counselor · Lake Villa, IL
NPI number
1609621796
Active
Practice location
313 Berkshire Dr
Lake Villa, IL 60046-5054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 00000000000 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1609621796
Shontae L. Fisher's National Provider Identifier is 1609621796, issued on Apr 22, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Villa, IL. The record was last updated on Apr 22, 2024.