Individual
STEPHANIE LUZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 NE BROADWAY ST UNIT 5, PORTLAND, OR 97232-1501
(415) 816-8861
Mailing address
1923 NE BROADWAY ST UNIT 5, PORTLAND, OR 97232-1501
(415) 816-8861
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
98257
CA
106H00000X
Marriage & Family Therapist
T2448
OR
Other
Enumeration date
05/16/2012
Last updated
09/25/2024
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