Individual
CASSIDY LAYNE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11150 EAST JEFFERSON, DETROIT, MI 48214
(517) 894-8020
Mailing address
11150 EAST JEFFERSON, DETROIT, MI 48214
(517) 894-8020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023253
MI
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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