Individual
INGRID HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWI
Contact information
Practice address
9075 S 1300 E, SANDY, UT 84094-3140
(385) 449-0932
Mailing address
9075 S 1300 E, SANDY, UT 84094-3140
(385) 449-0932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
125299463506
UT
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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