Individual
JONATHAN MICHAEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1016 W 21ST AVE, COVINGTON, LA 70433-7443
(985) 502-0892
Mailing address
70163 4TH ST, COVINGTON, LA 70433-8411
(985) 502-0892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9145
LA
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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