Individual
GUADALUPE BONNIE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4862 E CLINTON AVE, FRESNO, CA 93703-2873
(559) 252-2450
Mailing address
4665 E MICHIGAN AVE, FRESNO, CA 93703-1610
(559) 288-7422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
CA
104100000X
Social Worker
—
CA
106S00000X
Behavior Technician
—
CA
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
05/30/2025
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