Individual
ANGELICA MARIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 N GRAND AVE STE D, COVINA, CA 91724-1552
(626) 967-1667
Mailing address
1126 N GRAND AVE STE D, COVINA, CA 91724-1552
(626) 967-1667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
75172
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/23/2010
Last updated
01/13/2017
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