Hernandez, Mara
Hernandez, Mara is an sole proprietor health care provider with primary practice located at 1105 Whitaker Ln , El Paso TX 79902-2126. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Hernandez, Mara can be contacted via phone (915) 533-1929.Contact Information
Primary practice address
1105 Whitaker Ln
El Paso TX 79902-2126
Phone: (915) 533-1929
Fax: (877) 587-9452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 15728 | Texas |
Profile Details
| NPI number | 1043301278 |
|---|---|
| LBN Legal business name | Hernandez, Mara |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Mar 14th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043301278 | NPPES |
| Texas | MEDICAID | 028876302 | |
| Texas | Other | 7042LC |
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