| Doctor Name: | MR. CHRIS L. FERNANDES |
| NPI Number: | 1225229420 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | 434841 |
| Business Practice Address: | 5 Aucoot Rd Mattapoisett, MA - 027392402 |
| Business Phone Number: | 5087588085 |
| Business Fax Number: | |
| Mailing Address: | 5 Aucoot Rd, MATTAPOISETT |
| State: | MA |
| Postal Code: | 027392402 |
| Phone Number: | 5087588085 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 05/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 434841 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |