Individual
OLIVIA HERNANDEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL 32258-5233
(904) 224-5437
(904) 256-4960
Mailing address
13241 BARTRAM PARK BLVD UNIT 209, JACKSONVILLE, FL 32258-5233
(904) 224-5437
(904) 256-4960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11520
NE
103T00000X
Psychologist
Primary
PY10864
FL
Other
Enumeration date
06/14/2018
Last updated
03/31/2022
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