Individual
MELISSA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9845 W ROOSEVELT RD, WESTCHESTER, IL 60154-2758
(708) 681-2325
Mailing address
2840 N MULLIGAN AVE, CHICAGO, IL 60634-5017
(773) 441-0958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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