Doctor Name: | MRS. JOAN FERNANDES |
NPI Number: | 1356463830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC , LSW |
License Number: | 1611 |
Business Practice Address: | 16 Leon Sullivan Way Ste. 300 Charleston, WV - 253012402 |
Business Phone Number: | 3043469689 |
Business Fax Number: | 3043454601 |
Mailing Address: | 16 Leon Sullivan Way, Ste. 300 CHARLESTON |
State: | WV |
Postal Code: | 253012402 |
Phone Number: | 3043469689 |
Fax Number: | 3043454601 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1611 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |