Individual
MISS BRENDA DARLENE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2020 CENTRAL AVE, DODGE CITY, KS 67801-6411
(620) 227-9797
Mailing address
PO BOX 766, GARDEN CITY, KS 67846-0766
(620) 271-7400
(620) 708-4027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00919
KS
1041C0700X
Clinical Social Worker
Primary
06586
KS
Other
Enumeration date
01/05/2022
Last updated
10/10/2024
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