Individual
MISS RIA PANTONIAL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
18405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136
—
CA
05
—
0336
—
CA
Enumeration date
10/18/2017
Last updated
02/04/2025
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