Organization
CENTER FOR CHILD COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA M FERNANDEZ M.S. (CHILD AND FAMILY THERAPIST)
(561) 779-7318
Entity
Organization
Contact information
Practice address
2234 LAKE WORTH RD, APT. 103, LAKE WORTH, FL 33461-3256
(561) 779-7318
Mailing address
2234 LAKE WORTH RD, APT. 103, LAKE WORTH, FL 33461
(561) 779-7318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMH14691
FL
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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