MEDICARE: ALEXANDRIA NICOLE FERNANDEZ M.A., APCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	15272	CA

General Provider Information

NPI Number	:	1962340604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA NICOLE FERNANDEZ M.A., APCC

Provider Business Mailing Address
First Line	:	1642 FEDERAL AVE APT 302
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6697
Country	:	US
Telephone Number	:	310-862-2436
Fax Number	:

Provider Business Practice Location Address
First Line	:	1642 FEDERAL AVE APT 302
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6697
Country	:	US
Telephone Number	:	310-862-2436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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