| Office Of Gretchen Fernandez, Lcsw, Pc | |
|
12830 Hillcrest Rd # D-111 Dallas TX 75230-1527 | |
| (972) 816-1162 | |
| (972) 364-9095 |
| Full Name | Office Of Gretchen Fernandez, Lcsw, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12830 Hillcrest Rd # D-111, Dallas, Texas |
| Authorized Official Name and Position | Gretchen Louise Fernandez (CLINICIAN/THERAPIST) |
| Authorized Official Contact | 9728161162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Office Of Gretchen Fernandez, Lcsw, Pc 12830 Hillcrest Rd # D-111 Dallas TX 75230-1527 Ph: (972) 816-1162 | Office Of Gretchen Fernandez, Lcsw, Pc 12830 Hillcrest Rd # D-111 Dallas TX 75230-1527 Ph: (972) 816-1162 |
| NPI Number | 1629314992 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 12/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629314992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 31767 (Texas) | Primary |
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