Individual
MRS. MARIA A. CAROLINE FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCHT
Contact information
Practice address
3116 MAPLE DR NE, ATLANTA, GA 30305-2608
(404) 846-0699
Mailing address
151 MELROSE CREEK DR, STOCKBRIDGE, GA 30281-2351
(770) 656-7544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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