MARK FERNANDEZ

LOS ANGELES, CA
NPI1922641430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-28
Last Update Date2019-10-28
Business Address
MARK FERNANDEZ
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140
Mailing Address
MARK FERNANDEZ
1926 BEVERLY BLVD
LOS ANGELES, CA 90057-2402
Phone number: 213-353-1140