Individual
ADELE TERESA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
580 HEMBREE RD., ROSWELL, GA 30076
(404) 510-8863
Mailing address
580 HEMBREE RD., ROSWELL, GA 30076
(404) 510-8863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006565
GA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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