Individual
MARTHA J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPCC
Contact information
Practice address
143 POTTLE RD, OXFORD, ME 04270-3362
(207) 743-7911
Mailing address
143 POTTLE RD, OXFORD, ME 04270-3362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3274
ME
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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