Individual
MS. RAMONA HERNANDEZ MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
53322 CATALINA CT, SOUTH BEND, IN 46635-1342
(574) 273-1598
(574) 968-0615
Mailing address
53322 CATALINA CT, SOUTH BEND, IN 46635-1342
(574) 273-1598
(574) 968-0615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002783A
IN
106H00000X
Marriage & Family Therapist
35000537A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2268
NATIONAL BOARD OF CERTIFIED CLINICAL HYPNOTHERAPISTS, FELLOW STATUS
—
Enumeration date
05/28/2008
Last updated
05/28/2008
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