Individual
FLAVIA FERNICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
871 LOWCOUNTRY BLVD, MOUNT PLEASANT, SC 29464-3066
(843) 501-1099
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7691
SC
Other
Enumeration date
01/08/2015
Last updated
11/06/2024
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