Individual
JESSICA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 UNION ST, SUITE 557, LAWRENCE, MA 01840-1866
(978) 682-7289
Mailing address
15 UNION ST, SUITE 557, LAWRENCE, MA 01840-1866
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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