Individual
NOLAN T FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5728
Mailing address
353 HAMBLEY BLVD APT 7, PIKEVILLE, KY 41501-4086
(909) 573-5752
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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