Fernandez, Sam

Fernandez, Sam is an individual health care provider with primary practice located at 333 Laws Ave , Ukiah CA 95482-6540. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fernandez, Sam can be contacted via phone (707) 468-1010.

Contact Information

Primary practice address
333 Laws Ave Ukiah CA 95482-6540
Phone: (707) 468-1010
Fax: (707) 468-0174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS22129 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X 22129 California

Profile Details

NPI number 1336218718
LBN Legal business name Fernandez, Sam
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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