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Individual

JANA IRENE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1930 DOWLING ST, KENDALLVILLE, IN 46755-9436
(260) 347-4400
Mailing address
220 S MAIN ST, KENDALLVILLE, IN 46755-1718
(260) 347-2453

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003960A
IN

Other

Enumeration date
05/02/2021
Last updated
05/02/2021
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