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Individual
FERNEY OBESO JR.
Active
Individual
FERNEY OBESO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AII055200418
CA
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
05/08/2015
Last updated
07/22/2026
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