Individual
ANGELICA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8296
(847) 984-5689
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8296
(847) 984-5689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27445
IL
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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