Individual
ALEXIS NICOLE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
900 BROADWAY STE 910, NEW YORK, NY 10003-1249
(310) 970-4744
Mailing address
1205 PACIFIC HWY UNIT 2806, SAN DIEGO, CA 92101-8466
(310) 970-4744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001-084
NY
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
05/24/2023
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