Individual
MS. FONDA GAIL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC, NCC
Contact information
Practice address
4227 N SALEM DR, ARLINGTON HEIGHTS, IL 60004-7902
(847) 975-6294
Mailing address
4227 N SALEM DR, ARLINGTON HEIGHTS, IL 60004-7902
(847) 975-6294
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.007576
IL
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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