Jessica Hernandez
Social Worker, Clinical in Troy, MI. Individual provider (NPI-1).
NPI number1124716618
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1124716618
- Entity type
- Individual (NPI-1)
- Name
- Jessica Hernandez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2023
- Certification date
- Apr 24, 2023
- Last updated
- Apr 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801116024 | MI | Yes |
Practice location
390 Coachman Dr Apt 1aTroy, MI 48083-4748
Phone 530-781-3221
Mailing address
390 Coachman Dr Apt 1aTroy, MI 48083-4748
Phone 530-781-3221
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