Individual provider · Type 1 NPI
Thereza Radice Hernandez, LPC
Professional Counselor · Stanhope, NJ
NPI number
1295193407
Active
Practice location
21 Route 206, Suite #2
Stanhope, NJ 07874
Mailing address
108 Heritage Ln
Hamburg, NJ 07419-1332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00411200 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1295193407
Thereza Radice Hernandez, LPC's National Provider Identifier is 1295193407, issued on Feb 2, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stanhope, NJ. The record was last updated on Apr 3, 2016.