Individual
MR. CHRIS L. FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
5 AUCOOT RD, MATTAPOISETT, MA 02739-2402
(508) 758-8085
Mailing address
5 AUCOOT RD, MATTAPOISETT, MA 02739-2402
(508) 758-8085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6389
MA
1041S0200X
School Social Worker
434841
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309161
—
MA
Enumeration date
08/05/2007
Last updated
05/06/2009
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