Individual
JAMIE KAY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
213 NW WATER AVE, ALBANY, OR 97321
(541) 371-2080
(541) 928-6713
Mailing address
213 NW WATER AVE., ALBANY, OR 97321-2298
(541) 371-2080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4290
OR
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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