Individual provider · Type 1 NPI
Justin Michael Fernandez, LPC
Professional Counselor · Baton Rouge, LA
NPI number
1730695735
Active
Practice location
630 Richland Ave.
Baton Rouge, LA 70806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LPC008425 (GA) |
| Professional Counselor Primary | 101YP2500X | 4316 (LA) |
Professional Counselor: Definition to come...
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About NPI 1730695735
Justin Michael Fernandez, LPC's National Provider Identifier is 1730695735, issued on Dec 28, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 21, 2022.