Individual
MS. ANIKA MARICELA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 E FOOTHILL BLVD, PASADENA, CA 91107
(626) 577-2261
Mailing address
2650 E FOOTHILL BLVD, PASADENA, CA 91107-3439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
95979
CA
1041C0700X
Clinical Social Worker
Primary
95979
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
09/19/2018
Last updated
07/28/2023
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