Organization
FERNANDEZ THERAPY GROUP LICENSED CLINICAL SOCIAL WORKER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE FERNANDEZ LCSW (CEO)
(323) 793-3595
Entity
Organization
Contact information
Practice address
10810 PARAMOUNT BLVD STE 202, DOWNEY, CA 90241-3351
(909) 248-3513
Mailing address
10810 PARAMOUNT BLVD STE 202, DOWNEY, CA 90241-3351
(909) 248-3513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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