Individual
ROBIN RENAE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LISAC
Contact information
Practice address
3736 W CHOLLA ST, PHOENIX, AZ 85029-3133
(602) 715-7036
Mailing address
3736 W CHOLLA ST, PHOENIX, AZ 85029-3133
(602) 715-7036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10941
AZ
Other
Enumeration date
11/11/2009
Last updated
12/04/2015
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