Rose Fernandez, CSADC - MISA 11

NPI 1205377785 · on the registry since 2017 · sole proprietor

Practice

Address: 7124 W Grand Ave
Chicago, IL 60707
Phone: (773) 598-8540
Fax: (773) 569-3423
Organisation at this address: Strive To Serenity, Llc
Strive To Serenity, Llc
Strive To Serenity, Llc
St Michaels Counseling Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois