MEDICARE: ISAIDA ROSIBEL HERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346672698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISAIDA ROSIBEL HERNANDEZ

Provider Business Mailing Address
First Line	:	27 CONGRESS ST
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-7309
Country	:	US
Telephone Number	:	978-744-8388
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 CONGRESS ST
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-7309
Country	:	US
Telephone Number	:	978-744-8388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2013
Last Update Date	:	06/04/2026

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Directions to “ ISAIDA ROSIBEL HERNANDEZ ” Practice Location

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