Individual
STACEY MELISSA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 KIRMAN AVE, RENO, NV 89502-0993
(775) 786-7200
(775) 785-7003
Mailing address
601 W MOANA LN STE 9, RENO, NV 89509-4959
(775) 287-8270
(775) 433-1572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6681-S
NV
1041C0700X
Clinical Social Worker
Primary
9795-C
NV
Other
Enumeration date
01/15/2020
Last updated
02/04/2022
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