Individual
KATHRYN ELYSE FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
113 MAIN ST STE 203, OSWEGO, IL 60543-8593
(630) 733-9108
Mailing address
71 WINTER HILL CIR, MONTGOMERY, IL 60538-2919
(630) 207-1388
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001164
IL
Other
Enumeration date
12/16/2014
Last updated
07/02/2021
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