Individual
CARLOS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 BROAD ST STE 2, CLIFTON, NJ 07013-1643
(973) 207-5043
Mailing address
32 LENNON PL, CLIFTON, NJ 07013-3325
(973) 207-5043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00495400
NJ
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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