Individual
CARMEN LOLITA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 1/4 E 70TH ST, LOS ANGELES, CA 90001-1607
(978) 769-7265
Mailing address
1120 1/4 E 70TH ST, LOS ANGELES, CA 90001-1607
(812) 359-0518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
D1910517
CA
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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