Shontae L Fisher
Shontae L Fisher is a Mental Health Counselor in Lake Villa, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
313 Berkshire DrLake Villa, IL 60046-5054
Phone: (773) 220-6268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 00000000000 (IL) |
|---|
Record details
| NPI number | 1609621796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2024 |
| Last updated in NPPES | April 22, 2024 |
| Certification date | April 22, 2024 |
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