Individual
PATRICIA ANN FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMFT
Contact information
Practice address
500 COVENTRY LN, CRYSTAL LAKE, IL 60014-7579
(815) 455-7100
Mailing address
500 COVENTRY LN, CRYSTAL LAKE, IL 60014-7579
(815) 455-7100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000974
IL
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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