Provider Information for 1447984646
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JENNIFER HERNANDEZ LPC
Sex: Female
NPI: 1447984646
Last Updated: 2022-07-13
Certification Date: 2022-07-13
Certification Date: 2022-07-13
Details
Name | Value | ||||||||
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NPI | 1447984646 | ||||||||
Enumeration Date | 2022-07-13 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1605 GEORGE DIETER DR STE 636 EL PASO, TX 79936-5692 United States Phone: 915-671-1371 | Fax: | ||||||||
Primary Practice Address | 811 CHELSEA ST STE B EL PASO, TX 79903-4925 United States Phone: 915-201-0199 | Fax: | ||||||||
Secondary Practice Address(es) | 8825 N LOOP DR STE 103 | ||||||||
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