Individual
BROOKLYNN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
100 DOC SUSIE AVE, FRASER, CO 80442-5057
(262) 443-8813
Mailing address
PO BOX 924, FRASER, CO 80442-0924
(262) 443-8813
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.0022965
CO
Other
Enumeration date
02/01/2025
Last updated
02/01/2025
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