Cristobal R. Fernandez, LCPC
Individual provider Active NPI Mental Health Counselor · Montgomery Village, MD
NPI 1467246017 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1467246017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 15243 (MD)
- Practice address
- 9528 Duffer Way
Montgomery Village, MD 20886-1312 - Phone
- (202) 316-0347
- NPI assigned
- Apr 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15243 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 15243 | MD | Yes |
Addresses
Primary practice location
9528 Duffer Way
Montgomery Village, MD 20886-1312
Mailing address
9528 Duffer Way
Montgomery Village, MD 20886-1312
Phone (202) 316-0347
Other providers in Montgomery Village, MD
- Tomas Earl
- Nada Ebrahim
- Emglohealth Services LLC
- Richard Ewusie-Monney
- Shamaria A Fahie
- Edward Joseph Feroli
- Liliane Fobasso
- Princess K Frazier-Lyles
- G. Ghamary DDS #1 PC
- Grace Emilya Garcia
All providers in Montgomery Village, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.