Individual
KAREN DILLON HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCAS, LCMHCA, NC
Contact information
Practice address
811 CONOVER BLVD W, CONOVER, NC 28613-2861
(828) 610-1567
Mailing address
1111 WINDY HILL DR NW, CONOVER, NC 28613-9095
(286) 101-5678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22569
NC
101YP2500X
Professional Counselor
Primary
A15775
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710435516
—
NC
Enumeration date
09/21/2016
Last updated
06/15/2021
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