Individual
CHASITY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3190 N POINCIANA BLVD STE 110-126, KISSIMMEE, FL 34746-4694
(844) 665-4827
Mailing address
805 COLVILLE DR, POINCIANA, FL 34759-5993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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