Individual
ANTHONY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4590 ALLSTATE DR, RIVERSIDE, CA 92501-1702
(909) 599-1227
Mailing address
4590 ALLSTATE DR, RIVERSIDE, CA 92501-1702
(909) 599-1227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19918
CA
Other
Enumeration date
12/21/2020
Last updated
04/10/2026
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