Eduardo Mauricio Cristiano-Hernandez
Counselor, Professional in Chicago, IL. Individual provider (NPI-1).
NPI number1548044589
StatusActive
Last updated in NPPESNov 5, 2024
Details
- NPI
- 1548044589
- Entity type
- Individual (NPI-1)
- Name
- Eduardo Mauricio Cristiano-Hernandez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2023
- Certification date
- Nov 5, 2024
- Last updated
- Nov 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 178020780 | IL | Yes |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
700 N Green StChicago, IL 60642-5996
Phone 773-234-9259
Mailing address
3001 W Belden AveChicago, IL 60647-2801
Phone 773-988-6688
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