Individual
MRS. EDI HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, NCC
Contact information
Practice address
3302 NW 103RD AVE, SUNRISE, FL 33351-6835
(954) 895-7279
Mailing address
3302 NW 103RD AVE, SUNRISE, FL 33351-6835
(954) 895-7279
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MT3362
FL
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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