Individual
SANDY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LAC
Contact information
Practice address
45 E MONTEREY WAY STE 201, PHOENIX, AZ 85012-2757
(480) 489-2866
Mailing address
3532 W MARYLAND AVE, PHOENIX, AZ 85019-1535
(602) 565-3030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21273
AZ
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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