Individual
JAVIER FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6417 W IRVING PARK RD, CHICAGO, IL 60634-2437
(773) 777-6377
Mailing address
3003 S AVERS AVE, CHICAGO, IL 60623-4543
(773) 616-4807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33518
IL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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