Individual
CASSANDRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
928 BROADWAY, SAN DIEGO, CA 92101-5514
(619) 977-3716
(619) 481-3075
Mailing address
928 BROADWAY, SAN DIEGO, CA 92101-5514
(619) 977-3716
(619) 481-3075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/09/2021
Last updated
07/14/2022
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