Individual
MRS. NICOLE ARLYN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5126 W AGATITE AVE, # 1, CHICAGO, IL 60630-3702
(773) 936-5844
Mailing address
5126 W AGATITE AVE, # 1, CHICAGO, IL 60630-3702
(773) 936-5844
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001120
IL
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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