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NPI Code Detail

MEDICARE: MIGUEL HERNANDEZ LPC

MEDICARE: MIGUEL 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
1101Y00000XCounselorC.2103186OH
2101YP2500XProfessional CounselorC.2103186OH

General Provider Information

NPI Number : 1518518463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL HERNANDEZ LPC
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1457
Country : US
Telephone Number : 513-834-7063
Fax Number :
Provider Business Practice Location Address
First Line : 1012 E PERKINS AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-5070
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2019
Last Update Date : 01/20/2022

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