Individual
DOLORES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3058 N LAWNDALE AVE, CHICAGO, IL 60618-0980
(773) 679-1156
Mailing address
3058 N LAWNDALE AVE, CHICAGO, IL 60618-0980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.021934
IL
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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