Individual
MRS. AMY LYNN FUJINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
149 N VIRGINIA ST STE 201, CRYSTAL LAKE, IL 60014-3494
(815) 893-9459
Mailing address
149 N VIRGINIA ST STE 201, CRYSTAL LAKE, IL 60014-3494
(815) 893-9459
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006756
IL
101YP2500X
Professional Counselor
180006756
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881692658
—
IL
Enumeration date
04/25/2008
Last updated
05/11/2022
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