Individual
CHRISTY LYREE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14715 E HWY 20 CATHOLIC CHURCH RD., CLEARLAKE OAKS, CA 95423
(707) 998-1800
(707) 998-0122
Mailing address
14715 E HWY 20 CATHOLIC CHURCH RD, CLEARLAKE OAKS, CA 95423
(707) 998-1800
(707) 998-0122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SUDRC15576
CA
164X00000X
Licensed Vocational Nurse
Primary
VN259326
CA
Other
Enumeration date
04/10/2023
Last updated
06/12/2023
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