Individual provider · Type 1 NPI

Mirian Fernandez, LCSW

Mental Health Counselor · Stockton, CA

NPI number 1316609779 Active

Practice location

9693 E Highway 26
Stockton, CA 95215-9752

Call (209) 774-6405 Map

Mailing address

310 Harbor Blvd
Belmont, CA 94002-4018

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X103476 (CA)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1316609779

Mirian Fernandez, LCSW's National Provider Identifier is 1316609779, issued on Oct 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Nov 8, 2021.