Individual
BUFFY FERMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6762 LEXINGTON AVE, LOS ANGELES, CA 90038-1217
(323) 380-7590
Mailing address
6762 LEXINGTON AVE, LOS ANGELES, CA 90038-1217
(323) 380-7590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
107181
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/19/2017
Last updated
10/01/2018
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