Individual
ANTONIO DEJESUS FERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2219 N HOWARD ST FL 1, PHILADELPHIA, PA 19133-3727
(267) 880-9917
Mailing address
6401 DORCAS ST, PHILADELPHIA, PA 19111-5403
(267) 880-9917
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC016692
PA
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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