Individual
MISS DEANA LYNN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8102 W 119TH ST STE 1030, PALOS PARK, IL 60464-3081
(708) 381-0768
Mailing address
8102 W 119TH ST STE 1030, PALOS PARK, IL 60464-3081
(773) 680-4011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.012872
IL
101YP2500X
Professional Counselor
Primary
180.012872
IL
Other
Enumeration date
04/01/2020
Last updated
08/19/2024
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