Individual
MR. OTIS DEAN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
814 CAROLINE AVE, JUNCTION CITY, KS 66441-5210
(785) 477-9241
Mailing address
814 CAROLINE AVE, JUNCTION CITY, KS 66441-5210
(785) 762-5250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-04889-T
KS
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
04889
KS
Other
Enumeration date
10/25/2024
Last updated
05/19/2025
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