Shontae L Fisher
NPI #1609621796 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1609621796
- Entity Type
- Individual
- Name
- Shontae L Fisher
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 22, 2024
- Last Updated
- Apr 22, 2024
Practice Location
- Address
- 313 BERKSHIRE DR
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046-5054
- Phone
- (773) 220-6268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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