Individual
KIANCA N FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
2053 GAUSE BLVD E, 150, SLIDELL, LA 70461-5449
(985) 649-1001
(985) 646-1005
Mailing address
2053 GAUSE BLVD E STE 150, SLIDELL, LA 70461-5451
(985) 649-1001
(985) 644-1005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4832
LA
Other
Enumeration date
10/30/2010
Last updated
02/18/2016
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