Individual
JILL FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2119 ROCKDALE AVE, SIMI VALLEY, CA 93063-3705
(805) 231-1531
Mailing address
2119 ROCKDALE AVE, SIMI VALLEY, CA 93063-3705
(805) 231-1531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
7480
CA
Other
Enumeration date
09/07/2016
Last updated
03/27/2024
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