Individual
OLIVIA FALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1120 E MAIN ST, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Mailing address
1120 E MAIN ST, ST CHARLES, IL 60174-2287
(630) 377-6613
(630) 377-6225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/19/2024
Last updated
10/19/2024
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