NPI 1043754047

Jose Luis Hernandez, LMFT

Practitioner Marriage & Family Therapist Evanston, IL

Practice location

Address: 618 Library Pl, Evanston, IL 60201-2908
Phone: (847) 733-4300

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 166001116 (IL)

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Registry record

NPI: 1043754047
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2016
Record last updated: 28 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.