Individual
JENNY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
17620 148TH AVE, JAMAICA, NY 11434-5518
(718) 553-1100
Mailing address
4414 65TH PL, WOODSIDE, NY 11377-5749
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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