Individual
KATHLEEN CAROL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1424 E 11 MILE RD, ROYAL OAK, MI 48067-2026
(810) 664-4646
Mailing address
1424 E 11 MILE RD, ROYAL OAK, MI 48067-2026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451018576
MI
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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