Individual
RONALD FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
67490 RIO VISTA DR, CATHEDRAL CITY, CA 92234-8632
(909) 646-0655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14111
CA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/07/2017
Last updated
03/27/2026
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