Organization
FUKARI PSYCH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY MARIE JOHNSON LCPC (THERAPIST/OWNER)
(815) 479-4140
Entity
Organization
Contact information
Practice address
10 N LAKE ST STE 109, GRAYSLAKE, IL 60030-3636
(815) 479-4140
Mailing address
3204 BISCAYNE RD, MCHENRY, IL 60050-8321
(815) 236-8836
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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