Most Relevant Information
Provider Data
| NPI Number: | 1003318296 |
| Provider Name: | OLIVIA FADUL LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 3246 |
Most Important Dates
| Enumeration Date: | 03/02/2018 |
| Last Updated: | 03/02/2018 |
Provider Practice Location
14 ALVARADO PL
BERKELEY
CA
947051507
Practice Location Phone/Fax
| Phone: | 2565278240 |
| Fax: |
Provider Mailing Location
14 ALVARADO PL
BERKELEY
CA
947051507
Provider Mailing Phone/Fax
| Phone: | 2565278240 |
| Fax: |