Provider Demographics
NPI:1023533445
Name:HERNANDEZ, JANIE (LPCCS)
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LPCCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 STONEMASON WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-1963
Mailing Address - Country:US
Mailing Address - Phone:330-998-1777
Mailing Address - Fax:
Practice Address - Street 1:2740 AIRPORT DR STE 135
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-2286
Practice Address - Country:US
Practice Address - Phone:614-210-3699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor