Individual provider · Type 1 NPI

Dominic R. Fernandez, BMS

Counselor · Santa Rosa, NM

NPI number 1194058271 Active

Practice location

501 S 4th St
Santa Rosa, NM 88435-2417

Call (575) 472-0745 Map

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220

Specialties and licenses

TaxonomyCodeLicense
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 1194058271

Dominic R. Fernandez, BMS's National Provider Identifier is 1194058271, issued on Sep 8, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Rosa, NM. The record was last updated on Sep 8, 2009.