Fukari Psych, Pllc

NPI #1851138325 in Grayslake, Illinois

Provider Information

NPI Number: 1851138325
Entity Type: Organization
Organization Name: Fukari Psych, Pllc
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 11, 2024
Last Updated: Jul 11, 2024

Practice Location

Address: 10 N LAKE ST STE 109
City: Grayslake
State: Illinois
ZIP Code: 60030-3636
Phone: (815) 479-4140

Authorized Official

Name: MS. SHELLEY MARIE JOHNSON, LCPC
Title: THERAPIST/OWNER
Phone: (815) 479-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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