Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL J FONDA, LCPC
Active Sole ProprietorMR. MICHAEL J FONDA, LCPC is a Professional Counselor healthcare provider located in BROADVIEW, Illinois. NPI 1649312257 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BROADVIEW, IL
Registration Details
- NPI Number
- 1649312257
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2007 (19.479445890722 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1820 S 25TH AVEBROADVIEW, IL, 601552864Browse IL providers · Browse ZIP 60155
- Phone
- 7083383806
- Fax
- 7086811289
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in BROADVIEW, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MARGO YOUNG | LPC | 1750508164 |
| KATHERINE GOELITZ | LCPC | 1124475405 |
| MR. TERENCE PETER VANT | — | 1811661333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.