Individual
LUIS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
2976 NORTHERN BLVD, 2ND FL, LONG ISLAND CITY, NY 11101-2822
(212) 691-7554
(347) 510-3457
Mailing address
2976 NORTHERN BLVD, 2ND FL, LONG ISLAND CITY, NY 11101-2822
(212) 691-7554
(347) 510-3457
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
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