Organization
FONDA LEWIS INSIGHTFUL COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FONDA GAIL LEWIS MS, LCPC, NCC (OWNER)
(847) 975-6294
Entity
Organization
Contact information
Practice address
4227 N SALEM DR, ARLINGTON HEIGHTS, IL 60004-7902
(847) 975-6294
Mailing address
4227 N SALEM DR, ARLINGTON HEIGHTS, IL 60004-7902
(847) 975-6294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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