Individual
JAMES ROBERT FATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LMHC, LCPC
Contact information
Practice address
1341 CORAL BERRY CT, YORKVILLE, IL 60560-9125
(815) 751-1097
Mailing address
1341 CORAL BERRY CT, YORKVILLE, IL 60560-9125
(815) 751-1097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH15360
FL
Other
Enumeration date
11/06/2007
Last updated
09/19/2020
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