Individual
MARI BEA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4633 WASHINGTON RD, KENOSHA, WI 53144-4220
(262) 652-7222
(262) 652-1732
Mailing address
4633 WASHINGTON RD, KENOSHA, WI 53144-4220
(262) 652-7222
(262) 652-1732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6650-125
WI
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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