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SUSANA FERNANDEZ LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1588917090

Individual Registrant:
 SUSANA  FERNANDEZ LMHC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1414 NW 107TH AVE STE 109  SWEETWATER, FL 33172-2739 US
Tel: 786-762-2952  Fax: --

Contact information for business:
4271 W 19TH AVE  HIALEAH, FL 33012-5802 US
Tel: 305-558-9447  Fax: --

Registration Information:
NPI: 1588917090
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH16719

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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