Individual
BRENDA LEE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MAPLE ST FL 3, SPRINGFIELD, MA 01105-1864
(413) 386-1462
Mailing address
110 MAPLE ST FL 3, SPRINGFIELD, MA 01105-1864
(413) 386-1462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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