Individual
MRS. STACY M HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC-MHSP
Contact information
Practice address
117 HUXLEY RD, STE B3, KNOXVILLE, TN 37922-3179
(210) 323-1978
Mailing address
3305 RED MEADOW RD, KNOXVILLE, TN 37931-3594
(210) 323-1978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2537
TN
101YP2500X
Professional Counselor
2537
TN
Other
Enumeration date
11/03/2006
Last updated
10/27/2011
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