SAM FERNANDEZ

UKIAH, CA
NPI1336218718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  LCS22129)
Additional Taxonomies103T00000X Psychologist
(Licence: CA  22129)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
SAM FERNANDEZ LCSW
333 LAWS AVE
UKIAH, CA 95482-6540
Phone number: 707-468-1010
Mailing Address
SAM FERNANDEZ LCSW
333 LAWS AVE
UKIAH, CA 95482-6540
Phone number: 707-468-1010