JOSE LUIS FERNANDEZ

SANTA CRUZ, CA
NPI1598156671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-02-11
Last Update Date2020-08-19
Business Address
JOSE LUIS FERNANDEZ
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-707-5310
Mailing Address
JOSE LUIS FERNANDEZ
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-707-5310