| Fukari Psych, Pllc | |
|
10 N Lake St Ste 109 Grayslake IL 60030-3636 | |
| (815) 479-4140 | |
| Not Available |
| Full Name | Fukari Psych, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10 N Lake St Ste 109, Grayslake, Illinois |
| Authorized Official Name and Position | Shelley Marie Johnson (THERAPIST/OWNER) |
| Authorized Official Contact | 8154794140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fukari Psych, Pllc 3204 Biscayne Rd Mchenry IL 60050-8321 Ph: (815) 236-8836 | Fukari Psych, Pllc 10 N Lake St Ste 109 Grayslake IL 60030-3636 Ph: (815) 479-4140 |
| NPI Number | 1851138325 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851138325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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