Individual
CARA ELIANA FISHER WELLVANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1702 SHERMAN AVE, EVANSTON, IL 60201-3713
(847) 425-9708
Mailing address
1702 SHERMAN AVE, EVANSTON, IL 60201-3713
(847) 425-9708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.012915
IL
Other
Enumeration date
06/24/2017
Last updated
06/24/2017
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