Individual
ALICE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1384 SAINT VINCENTS DR, LEMONT, IL 60439-8509
(630) 886-8650
Mailing address
1384 SAINT VINCENTS DR, LEMONT, IL 60439-8509
(630) 886-8650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
101YM0800X
Mental Health Counselor
—
IL
101YP2500X
Professional Counselor
Primary
180010744
IL
101YP2500X
Professional Counselor
—
IL
Other
Enumeration date
05/29/2018
Last updated
09/21/2023
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