SAMANTHA L. FERNANDO NPI 1104275171

NPI Information

Samantha L. Fernando is a counselor in Pueblo Of Acoma, NM. The provider is 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's degree and clinical experience and supervision for licensure or certification. Samantha L. Fernando NPI is 1104275171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

45 PINSBAARI DRIVE
PUEBLO OF ACOMA, NM
ZIP 87034
Phone: (505) 552-6661
Fax: (505) 552-6427

The enumeration date for this NPI number is 6/9/2016 and was last updated on 6/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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