Individual provider · Type 1 NPI

Beverly Fernandez, PSY. M, CCBT, CCTS-I

Counselor · Woodbridge, NJ

NPI number 1174025563 Active

Practice location

55 Brook St
Woodbridge, NJ 07095-2946

Mailing address

447 Broadway Ste 443
New York, NY 10013-2562

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1174025563

Beverly Fernandez, PSY. M, CCBT, CCTS-I's National Provider Identifier is 1174025563, issued on Mar 1, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Woodbridge, NJ. The record was last updated on May 16, 2026.