Organization
FERNANDEZ COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY DEAN FERNANDEZ (OWNER)
(505) 320-2183
Entity
Organization
Contact information
Practice address
117 N GUADALUPE ST STE D, SANTA FE, NM 87501-6526
(505) 310-2183
Mailing address
1420 GALISTEO ST, SANTA FE, NM 87505-4632
(505) 310-2183
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
I-04850
NM
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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