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LISA OLIVIA FERNANDEZ MA LPC

Individual Provider (NPI-1) Active

Counselor, Professional

Provider Information

NPI Number
1952401598
Provider Type
Individual Provider (NPI-1)
Credentials
MA LPC
Status
Active

Contact & Location

Address
401 S 23RD ST, WORLAND, WY, 824013725
Phone
(307) 347-6165
Fax
(307) 347-6166

Specialties & Taxonomies

Counselor License: WY #LPC-2122
Counselor, Addiction (Substance Use Disorder) License: WY #PPC-1234
Counselor, Professional Primary License: WY #LPC-2122

All Addresses

LOCATION

401 S 23RD ST

WORLAND, WY, 824013725

(307) 347-6165

MAILING

1807 CREST WAY

WORLAND, WY, 824012522

(307) 347-4842