Individual
ALICIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 HEACOCK ST STE C220, MORENO VALLEY, CA 92553-3363
(951) 653-1800
Mailing address
879 W 190TH ST STE 300, GARDENA, CA 90248-4223
(310) 323-6887
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 40307
CA
Other
Enumeration date
03/22/2007
Last updated
01/04/2024
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