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Individual
SYLVIA MELLISA HERNANDEZ
Active
Individual
SYLVIA MELLISA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII ICADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
330015CN
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A057400620
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CI16720518
CA
171M00000X
Case Manager/Care Coordinator
A057400620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33352
DRUG MEDI-CAL
CA
Enumeration date
07/08/2008
Last updated
03/03/2025
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