Fish, Kerrie Danielle

Fish, Kerrie Danielle is an individual health care provider with primary practice located at 3004 Grand Ave , Waukegan IL 60085-2321. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fish, Kerrie Danielle can be contacted via phone (847) 377-8120.

Contact Information

Primary practice address
3004 Grand Ave Waukegan IL 60085-2321
Phone: (847) 377-8120
Fax: (847) 984-5691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 30977 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.017900 Illinois

Profile Details

NPI number 1669730198
LBN Legal business name Fish, Kerrie Danielle
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2012
Last updated Feb 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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