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Individual

CHRISTIE FULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
6954 N GREENVIEW AVE, 408, CHICAGO, IL 60626-3458
(773) 332-2376
Mailing address
6954 N GREENVIEW AVE, 408, CHICAGO, IL 60626-3458
(773) 332-2376

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009061
IL

Other

Enumeration date
01/26/2016
Last updated
01/26/2016
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