Individual
MAYA S FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6666 4TH ST NW, LOS RANCHOS, NM 87107-6144
(505) 230-8631
(505) 898-7288
Mailing address
538 REGINA RD NW, ALBUQUERQUE, NM 87105-1530
(505) 203-8631
(505) 898-7288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0154951
NM
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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