Individual
LUIS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02740141
—
NY
Enumeration date
05/05/2014
Last updated
05/05/2014
Update your record
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