Individual
LETICIA VICTORIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9830 NE CASCADES PKWY, STE 200, PORTLAND, OR 97220-6832
(512) 731-2335
Mailing address
8640 SE CAUSEY AVE, APT R201, HAPPY VALLEY, OR 97086-7599
(512) 731-2335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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