| Mr Michael J Fonda, LCPC | |
|
1820 S 25th Ave, Broadview, IL 60155-2864 | |
| (708) 338-3806 | |
| (708) 681-1289 |
| Full Name | Mr Michael J Fonda |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1820 S 25th Ave, Broadview, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649312257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael J Fonda, LCPC 322 Georgetown Ave, Romeoville, IL 60446-4113 Ph: (815) 372-6245 | Mr Michael J Fonda, LCPC 1820 S 25th Ave, Broadview, IL 60155-2864 Ph: (708) 338-3806 |
Miss Jamie L Dobkowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-681-0073 | |
Mr. Gerald Lawrence Smith Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1522 Bataan Dr Apt 2w, Broadview, IL 60155 Phone: 773-807-5783 | |
Mrs. Jackie E Skinner, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-338-3806 Fax: 708-410-0744 | |
Katherine Goelitz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1915 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-498-0200 | |
Lyndsey Tan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 630-801-5658 | |
Mr. Philip William Schneeberger, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1915 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-344-3301 Fax: 708-344-2944 | |
Nadia Gomez-moran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-681-0073 |