Individual
EDGARDO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
107 CEDAR GROVE LN STE 103E, SOMERSET, NJ 08873-4719
(732) 289-6008
(732) 289-6009
Mailing address
127 HICKORY CORNER RD, EAST WINDSOR, NJ 08520-2415
(732) 690-4616
(732) 289-6009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC0162000
NJ
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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