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NPI Code Detail

MEDICARE: MS. LOUISA BONNER HERNANDEZ LPC

MEDICARE: MS. LOUISA BONNER HERNANDEZ LPC
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
1101YM0800XMental Health Counselor11348TX

General Provider Information

NPI Number : 1669776654
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOUISA BONNER HERNANDEZ LPC
Provider Business Mailing Address
First Line : 4803 SAN FELIPE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77056-3907
Country : US
Telephone Number : 713-626-7990
Fax Number :
Provider Business Practice Location Address
First Line : 4803 SAN FELIPE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77056-3907
Country : US
Telephone Number : 713-626-7990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2011
Last Update Date : 01/05/2011

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