Healthcare Provider Details

I. General information

NPI: 1609797364
Provider Name (Legal Business Name): ADRIEL FERNANDEZ LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 SUNSET AVE
OCEAN NJ
07712-4554
US

IV. Provider business mailing address

4 TWAIN DR
ALLENTOWN NJ
08501-1660
US

V. Phone/Fax

Practice location:
  • Phone: 848-301-2509
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01293900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: