Individual
ERICA RAE FADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 N RAVENSWOOD AVE STE 250, CHICAGO, IL 60640-5802
(773) 892-1933
Mailing address
5007 N GLENWOOD AVE APT 3, CHICAGO, IL 60640-8429
(636) 328-7987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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