Rose Fernandez, CSADC-MISA11
Rose Fernandez, CSADC-MISA11 is an Addiction (Substance Use Disorder) Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
7124 W Grand AveChicago, IL 60707-2805
Phone: (773) 598-8540
Fax: (773) 569-3423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 18705 (IL) |
|---|
Record details
| NPI number | 1205377785 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSADC-MISA11 |
| Sole proprietor | Yes |
| NPI enumerated | March 16, 2017 |
| Last updated in NPPES | March 16, 2017 |
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