Individual
MR. JUSTIN MICHAEL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
630 RICHLAND AVE., BATON ROUGE, LA 70806
(225) 343-9196
Mailing address
630 RICHLAND AVE., BATON ROUGE, LA 70806
(225) 343-9196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4316
LA
101YP2500X
Professional Counselor
LPC008425
GA
Other
Enumeration date
12/28/2017
Last updated
07/21/2022
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