Fabian Hernandez
Counselor, Mental Health in Burr Ridge, IL. Individual provider (NPI-1).
NPI number1376376152
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1376376152
- Entity type
- Individual (NPI-1)
- Name
- Fabian Hernandez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2024
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
745 McClintock DrBurr Ridge, IL 60527-6490
Phone 630-491-6846
Mailing address
9420 S Avers AveEvergreen Park, IL 60805-2007
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