Individual
ANGELICA M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 BELL TOWER LN STE 201, WESTON, FL 33326-3694
(954) 684-2915
Mailing address
9440 W FLAGLER ST APT 303, MIAMI, FL 33174-2041
(786) 925-1982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH25661
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112
NA
—
Enumeration date
05/06/2019
Last updated
05/25/2025
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