person
Mr. Michael J Fonda, LCPC
Professional Counselor in Broadview, Illinois
NPI 1649312257

Michael J Fonda is a Professional Counselor based in Romeoville, IL and is specialized in Professional. Michael J Fonda practices in Broadview, IL and has the professional credentials of LCPC. The NPI Number for Michael J Fonda is 1649312257 and holds a License No. (Illinois).

The current practice location address for Michael J Fonda is 1820 S 25Th Ave, Broadview, IL and can be reached out via phone at 708-338-3806 and via fax at 708-681-1289.

Location: 1820 S 25Th Ave, Broadview, IL, 60446-4113
person
Provider Profile Details
NPI Number
1649312257
Provider Name
Michael J Fonda
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
1820 S 25Th Ave, Broadview, IL, 60446-4113
Phone Number
708-338-3806
Fax Number
708-681-1289
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1820 S 25Th Ave
City
State
Zip
60155-2864
Phone Number
708-338-3806
Fax Number
708-681-1289
person
Provider Business Mailing Address Details
Address
1820 S 25Th Ave
City
State
Zip
60155-2864
Phone Number
708-338-3806
Fax Number
708-681-1289
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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