Individual
MR. JOHN BRIAN FUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1010 LAKE ST STE 200, OAK PARK, IL 60301-1132
(312) 809-0298
Mailing address
820 N ORLEANS ST STE 350, CHICAGO, IL 60610-3145
(312) 809-0298
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016822
IL
Other
Enumeration date
09/14/2020
Last updated
03/23/2021
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