Individual
MARIA CAROLINA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 A SE ASCENSION COMPLEX BLVD, GONZALES, LA 70737
(225) 450-1159
Mailing address
1112-A SE ASCENSION COMPLEX BLVD, GONZALES, LA 70737
(225) 450-1159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6456
LA
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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