Individual
VICTOR FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
702 FRANKLIN AVENUE, SUNNYSIDE, WA 98944
(509) 837-7700
Mailing address
PO BOX 997, SUNNYSIDE, WA 98944-0997
(509) 837-7700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60166261
WA
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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