Provider Demographics
NPI:1881293009
Name:HERNANDEZ, ROSEMARY (LPC, NCC, CCC, ACS)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LPC, NCC, CCC, ACS
Other - Prefix:
Other - First Name:ROSEMARY
Other - Middle Name:
Other - Last Name:BRITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:703 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1042
Mailing Address - Country:US
Mailing Address - Phone:973-445-8171
Mailing Address - Fax:
Practice Address - Street 1:703 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1042
Practice Address - Country:US
Practice Address - Phone:973-445-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00809600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health