Individual provider · Type 1 NPI

Stephanie Medina Hernandez

Mental Health Counselor · Chicago, IL

NPI number 1790481802 Active

Practice location

155 N Michigan Ave Ste 201
Chicago, IL 60601-7940

Mailing address

4000 W Montrose Ave # 527
Chicago, IL 60641-2140

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X180.017011 (IL)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790481802

Stephanie Medina Hernandez's National Provider Identifier is 1790481802, issued on Feb 1, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Apr 15, 2025.