Individual
KEISHA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 N 6TH AVE, CHATSWORTH, GA 30705-2852
(706) 383-7290
Mailing address
119 N 6TH AVE, CHATSWORTH, GA 30705-2852
(706) 383-7290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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