Most Relevant Information
Provider Data
| NPI Number: | 1003336629 |
| Provider Name: | CARA ELIANA FISHER WELLVANG LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 178.012915 |
Most Important Dates
| Enumeration Date: | 06/24/2017 |
| Last Updated: | 06/24/2017 |
Provider Practice Location
1702 SHERMAN AVE
EVANSTON
IL
602013713
Practice Location Phone/Fax
| Phone: | 8474259708 |
| Fax: |
Provider Mailing Location
1702 SHERMAN AVE
EVANSTON
IL
602013713
Provider Mailing Phone/Fax
| Phone: | 8474259708 |
| Fax: |