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Individual

MRS. AMANDA MARIE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LCDC

Contact information

Practice address
3551 ROGER BROOKE DRIVE, FORT SAM HOUSTON, TX 78234
(210) 539-9582
Mailing address
3551 ROGER BROOKE DRIVE, FORT SAM HOUSTON, TX 78234
(210) 539-9582

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11736
TX
1041C0700X
Clinical Social Worker
Primary
55556
TX

Other

Enumeration date
11/22/2010
Last updated
03/09/2021
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