Individual
COURTNEY A FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 PINE ST, LA CROSSE, WI 54601-3750
(608) 785-6515
Mailing address
7712 W BRIARWOOD DR, FRANKLIN, WI 53132-8842
(414) 231-0919
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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