Search › Oregon › Mental Health Counselor
Michael Smith- Fernandez, LCSW
NPI 1154788065 · on the registry since 2016
Practice
- Address
- 11 Sw Brantley Dr
Winston, OR 97496 - Phone
- (541) 679-0366
- Fax
- (541) 679-4821
- Organisation at this address
- Stacy J Nielsen, Lcsw, Llc
Functional Mental Health Llc
Second Wind Mental Health ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 3099 Ne Diamond Lake Blvd, Roseburg, OR
- 3099 Ne Diamond Lake Blvd, Roseburg, OR
- 1652 Nw Hughwood Ct, Roseburg, OR
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon