Individual
ANDREA FERNANDEZ SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 S L ST, DINUBA, CA 93618-2323
(559) 591-6680
Mailing address
144 S L ST, DINUBA, CA 93618-2323
(559) 591-6680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
110876
CA
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
10/11/2022
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