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Organization
CEREVITY, LICENSED CLINICAL SOCIAL WORKER, P.C.
Active
Organization
CEREVITY, LICENSED CLINICAL SOCIAL WORKER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA FERNANDEZ LCSW (PRESIDENT)
(562) 295-6650
Entity
Organization
Contact information
Practice address
3217 CARSON ST # 319, LAKEWOOD, CA 90712-4006
(562) 295-6650
Mailing address
3217 CARSON ST # 319, LAKEWOOD, CA 90712-4006
(562) 418-3659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
03/13/2025
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