Individual provider · Type 1 NPI
Rose Fernandez, CSADC - MISA 11
Addiction (Substance Use Disorder) Counselor · Chicago, IL
NPI number
1205377785
Active
Practice location
7124 W Grand Ave
Chicago, IL 60707-2805
Fax (773) 569-3423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18705 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
7 other providers at this address
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- Strive To Serenity, LLCSubstance Use Disorder Rehabilitation Clinic/Center Chicago, IL NPI 1821578188
- Isabelita Hernandez, C.A.D.CAddiction (Substance Use Disorder) Counselor Chicago, IL NPI 1427599000
- Mary VelezLicensed Practical Nurse Chicago, IL NPI 1649711219
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Other addiction (substance use disorder) counselor providers in Chicago
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- James A. Campbell, CADCAddiction (Substance Use Disorder) Counselor Chicago, IL NPI 1043508401
About NPI 1205377785
Rose Fernandez, CSADC - MISA 11's National Provider Identifier is 1205377785, issued on Mar 16, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Mar 16, 2017.