Individual
GAIL A. FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 235-7064
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 235-8064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1328 AD
MA
Other
Enumeration date
08/15/2007
Last updated
12/07/2011
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