| Alison Winter Fernandez Counseling | |
|
25 Brookside Ave Fair Haven NJ 07704-3524 | |
| (848) 466-0977 | |
| Not Available |
| Full Name | Alison Winter Fernandez Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Brookside Ave, Fair Haven, New Jersey |
| Authorized Official Name and Position | Alison Winter Fernandez (OWNER) |
| Authorized Official Contact | 8484660977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alison Winter Fernandez Counseling 25 Brookside Ave Fair Haven NJ 07704-3524 Ph: (848) 466-0977 | Alison Winter Fernandez Counseling 25 Brookside Ave Fair Haven NJ 07704-3524 Ph: (848) 466-0977 |
| NPI Number | 1750078523 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Medicare PECOS PAC ID | 7618334749 |
|---|---|
| Medicare Enrollment ID | O20230606001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750078523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alison Winter Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346942448 PECOS PAC ID: 2163889296 Enrollment ID: I20230606001506 |
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