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1265044184
COLEEN LYNNETTE HERNANDEZ
PANAMA CITY, FL
NPI
1265044184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH18223)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
COLEEN LYNNETTE HERNANDEZ MS, LMHC
747 JENKS AVE
PANAMA CITY, FL 32401-2582
Phone number: 813-290-8560
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Mailing Address
COLEEN LYNNETTE HERNANDEZ MS, LMHC
3781 PINE LOG RD
CHIPLEY, FL 32428-6401
Phone number:
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