Provider Demographics
NPI:1346806429
Name:FERNANDEZ, NESTHER STEVEN
Entity Type:Individual
Prefix:
First Name:NESTHER
Middle Name:STEVEN
Last Name:FERNANDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 BOSTON MILLS RD STE 400
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-1193
Mailing Address - Country:US
Mailing Address - Phone:234-348-4459
Mailing Address - Fax:
Practice Address - Street 1:581 BOSTON MILLS RD STE 400
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-1193
Practice Address - Country:US
Practice Address - Phone:234-348-4459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2305613101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health