person
Wanda Raquel Ortiz Hernandez, LCPC
Professional Counselor in Urbana, Illinois
NPI 1104506393

Wanda Raquel Ortiz Hernandez is a Professional Counselor based in Champaign, IL and is specialized in Professional. Wanda Raquel Ortiz Hernandez practices in Urbana, IL and has the professional credentials of LCPC. The NPI Number for Wanda Raquel Ortiz Hernandez is 1104506393 and holds a License No. 180.015451 (Illinois).

The current practice location address for Wanda Raquel Ortiz Hernandez is 2001 Philo Rd, Urbana, IL and can be reached out via phone at 217-552-1211.

Location: 2001 Philo Rd, Urbana, IL, 61820-4637
person
Provider Profile Details
NPI Number
1104506393
Provider Name
Wanda Raquel Ortiz Hernandez
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2001 Philo Rd, Urbana, IL, 61820-4637
Phone Number
217-552-1211
Fax Number
Provider Enumeration Date
07/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 Philo Rd
City
State
Zip
61802-8007
Phone Number
217-552-1211
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Philo Rd
City
State
Zip
61802-8007
Phone Number
217-552-1211
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.015451 (Illinois)
Definition
Definition to come...
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