Organization
BRENDA FERNANDEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRENDA CERDA FERNANDEZ (MFT INTERN)
(805) 816-8493
Entity
Organization
Contact information
Practice address
100 E THOUSAND OAKS BLVD STE 140, THOUSAND OAKS, CA 91360-8123
(866) 587-6685
Mailing address
2780 EUCALYPTUS DR, OXNARD, CA 93036-8815
(805) 816-8493
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMF83414
CA
Other
Enumeration date
12/20/2014
Last updated
12/20/2014
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