Individual
MRS. ERICA L HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
492 E 13TH AVE, STE 106, EUGENE, OR 97401-4268
(541) 543-8568
Mailing address
1400 HIGH ST STE C1, EUGENE, OR 97401-4192
(541) 345-7010
(541) 343-1044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3688
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50060860
—
OR
01
—
L3688
LCSW SOCIAL WORK BOARD
OR
Enumeration date
01/18/2007
Last updated
04/26/2018
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