Individual
ANALISA LYNN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1415 QUAIL VALLEY RUN, OAKLEY, CA 94561-3425
(510) 734-4996
Mailing address
1415 QUAIL VALLEY RUN, OAKLEY, CA 94561-3425
(510) 734-4996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Y3029153
CA
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10374335
KAISER PERMANENTE
CA
Enumeration date
08/26/2022
Last updated
06/27/2023
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