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Search › Illinois › 101YP2500X

Michael Fonda, LCPC

NPI 1649312257 · on the registry since 2007 · sole proprietor

Practice

Address
1820 S 25th Ave
Broadview, IL 60155
Phone
(708) 338-3806
Fax
(708) 681-1289
Organisation at this address
Presence Behavioral Health
Presence Behavioral Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois