Individual
MRS. KRYSTAL FUJII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, RBT
Contact information
Practice address
243 HOLIDAY LN, HAINESVILLE, IL 60073-3194
(773) 317-7483
Mailing address
243 HOLIDAY LN, HAINESVILLE, IL 60073-3194
(773) 317-7483
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178011306
IL
106S00000X
Behavior Technician
17-34258
IL
Other
Enumeration date
05/13/2018
Last updated
12/12/2018
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