Doctor Name: | MRS. MEREDITH LEE CHADA |
NPI Number: | 1295866515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, CADC |
License Number: | 25771 |
Business Practice Address: | 674 W Veterans Pkwy Ste D Yorkville, IL - 605604567 |
Business Phone Number: | 6305539686 |
Business Fax Number: | |
Mailing Address: | 2447 Hillsboro Ln, MONTGOMERY |
State: | IL |
Postal Code: | 605385062 |
Phone Number: | 6303017381 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 25771 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |