| Doctor Name: | MR. NUNO FERNANDES |
| NPI Number: | 1013284652 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | MC60254243 |
| Business Practice Address: | 918 E Mead Ave Yakima, WA - 989033720 |
| Business Phone Number: | 5094531344 |
| Business Fax Number: | 5094532209 |
| Mailing Address: | 918 E Mead Ave, YAKIMA |
| State: | WA |
| Postal Code: | 989033720 |
| Phone Number: | 5094531344 |
| Fax Number: | 5094532209 |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MC60254243 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |