Individual
ISIS VANESSA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 SYCAMORE RD, DEKALB, IL 60115-2483
(815) 758-8616
Mailing address
1245 TILTON PARK DR, ROCHELLE, IL 61068-1347
(815) 981-2849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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