Individual provider · Type 1 NPI
Alyssa Fernandez
Mental Health Counselor · Portland, TN
NPI number
1457766537
Active
Practice location
604 S Broadway St
Portland, TN 37148-1607
Mailing address
109 Hunterwood Dr
White House, TN 37188-8045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 105653115 (TN) |
Mental Health Counselor: Definition to come...
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About NPI 1457766537
Alyssa Fernandez's National Provider Identifier is 1457766537, issued on Jun 26, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, TN. The record was last updated on Jun 26, 2014.