Individual provider · Type 1 NPI

Keith Edward Fernandes Jr.

Mental Health Counselor · Dorchester, MA

NPI number 1497627186 Active

Practice location

895 Blue Hill Ave
Dorchester, MA 02124-2902

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1497627186

Keith Edward Fernandes Jr.'s National Provider Identifier is 1497627186, issued on Sep 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dorchester, MA. The record was last updated on Sep 22, 2025.