person
Rose Fernandez, CSADC-MISA11
Addiction (Substance Use Disorder) Counselor in Chicago, Illinois
NPI 1205377785

Rose Fernandez is an Addiction (Substance Use Disorder) Counselor based in Chicago, IL and is specialized in Addiction (Substance Use Disorder). Rose Fernandez practices in Chicago, IL and has the professional credentials of CSADC-MISA11. The NPI Number for Rose Fernandez is 1205377785 and holds a License No. 18705 (Illinois).

The current practice location address for Rose Fernandez is 7124 W Grand Ave, Chicago, IL and can be reached out via phone at 773-598-8540 and via fax at 773-569-3423.

Location: 7124 W Grand Ave, Chicago, IL, 60707-2805
person
Provider Profile Details
NPI Number
1205377785
Provider Name
Rose Fernandez
Credential
CSADC-MISA11
Provider Entity Type
Individual
Gender
Female
Address
7124 W Grand Ave, Chicago, IL, 60707-2805
Phone Number
773-598-8540
Fax Number
773-569-3423
Provider Enumeration Date
03/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7124 W Grand Ave
City
State
Zip
60707-2805
Phone Number
773-598-8540
Fax Number
773-569-3423
person
Provider Business Mailing Address Details
Address
7124 W Grand Ave
City
State
Zip
60707-2805
Phone Number
773-598-8540
Fax Number
773-569-3423
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18705 (Illinois)
Definition
Definition to come...
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