Individual
MARCELO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 HUECO AVE, EL PASO, TX 79903-4312
(915) 775-0505
Mailing address
3501 HUECO AVE, EL PASO, TX 79903-4312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10164
TX
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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