Individual
ANGELICA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 W HOLMES RD, SUIT 227 A&C, LANSING, MI 48910-0426
(517) 303-4185
(517) 579-9932
Mailing address
PO BOX 933, OKEMOS, MI 48805-0933
(517) 915-8193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011899
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401011899
LLP LICENSE
MI
Enumeration date
05/06/2014
Last updated
11/16/2021
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