Individual
DANIELLA TERESE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA, CDP
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Mailing address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60466478
WA
106H00000X
Marriage & Family Therapist
Primary
MG60169174
WA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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