Individual
FABIAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 MCCLINTOCK DR, BURR RIDGE, IL 60527-6490
(630) 491-6846
Mailing address
9420 S AVERS AVE, EVERGREEN PARK, IL 60805-2007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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