Individual
KEVIN S FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3747 W WRIGHTWOOD AVE FL 1, CHICAGO, IL 60647-1150
(630) 621-5911
Mailing address
3747 W WRIGHTWOOD AVE FL 1, CHICAGO, IL 60647-1150
(630) 621-5911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.017255
IL
101YP2500X
Professional Counselor
178.017255
IL
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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