Individual
JUSTIN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
6200 ROCKSIDE WOODS BLVD N, INDEPENDENCE, OH 44131-2333
(216) 312-1368
Mailing address
8406 ANTLERS TRL, NORTH RIDGEVILLE, OH 44039-6403
(330) 261-2027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C0800099
OH
101YP2500X
Professional Counselor
Primary
E.0800099-SUPV
OH
Other
Enumeration date
11/04/2009
Last updated
01/17/2017
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