Individual
ASHLEY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6262 AMY AVE, GARDEN GROVE, CA 92845-1808
(562) 656-9975
Mailing address
6262 AMY AVE, GARDEN GROVE, CA 92845-1808
(562) 656-9975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
85524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85524
BBS
CA
Enumeration date
09/12/2022
Last updated
09/12/2022
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