Individual provider · Type 1 NPI

Mark Fernandez

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1922641430 Active

Practice location

1926 Beverly Blvd
Los Angeles, CA 90057-2402

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1922641430

Mark Fernandez's National Provider Identifier is 1922641430, issued on Oct 28, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 28, 2019.