Individual
ANNELISE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 10TH AVE S, JACKSONVILLE BEACH, FL 32250-5135
(904) 357-0575
Mailing address
2800 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3321
(915) 539-1711
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
09/01/2020
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