Organization
RENACER BEHAVIORAL MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISANDRO NMN FABIAN FERNANDEZ LPC (THERAPIST)
(571) 516-0132
Entity
Organization
Contact information
Practice address
205 COMMANDER CV, STAFFORD, VA 22554-2401
(571) 516-0132
Mailing address
205 COMMANDER CV, STAFFORD, VA 22554-2401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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