MR. MICHAEL J FONDA LCPC
NPI 1649312257
Counselor - Professional in Broadview, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since February 12, 2007

1820 S 25TH AVE, BROADVIEW, IL 60155(708) 338-3806(708) 681-1289 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Michael J Fonda Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL J FONDA LCPC (NPI 1649312257) is an individual professional provider in Broadview, Illinois and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1649312257

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. MICHAEL J FONDACredential: LCPC

Location Address1820 S 25TH AVEBroadview, IL 60155-2864

Mailing Address322 Georgetown AveRomeoville, IL 60446-4113 · (815) 372-6245 · Fax (815) 372-6245

Phone(708) 338-3806

Fax(708) 681-1289

Sole ProprietorYes

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1649312257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

1820 S 25TH AVE, Broadview, IL 60155

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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