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Organization
FERNANDEZ THERAPY GROUP LICENSED CLINICAL SOCIAL WORKER, CORP
Active
Organization
FERNANDEZ THERAPY GROUP LICENSED CLINICAL SOCIAL WORKER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE FERNANDEZ LCSW (CEO)
(323) 793-3595
Entity
Organization
Contact information
Practice address
10810 PARAMOUNT BLVD STE 202, DOWNEY, CA 90241-3351
(909) 248-3513
Mailing address
10810 PARAMOUNT BLVD STE 202, DOWNEY, CA 90241-3351
(909) 248-3513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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