Individual
JESSICA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 312-3077
Mailing address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 312-3077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03875
MN
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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