Individual
ANTIONETTE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
5703 S PEORIA ST, CHICAGO, IL 60621-2262
(888) 984-2523
(561) 898-2237
Mailing address
224 DATURA ST STE 1015, WEST PALM BEACH, FL 33401-5638
(561) 600-8764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016062
IL
Other
Enumeration date
09/16/2020
Last updated
11/27/2023
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