Individual
OLIVIA FADUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14 ALVARADO PL, BERKELEY, CA 94705-1507
(256) 527-8240
Mailing address
14 ALVARADO PL, BERKELEY, CA 94705-1507
(256) 527-8240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3246
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
AM NOT REGISTERED WITH INSURANCE
AL
Enumeration date
03/02/2018
Last updated
03/02/2018
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