Individual
MS. ANGIE ELIZABETH HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 VALENCIA DR, FAIRFIELD, CA 94533-2849
(707) 438-0492
(707) 816-0291
Mailing address
214 VALENCIA DR, FAIRFIELD, CA 94533-2849
(707) 438-0492
(707) 816-0291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
MENTAL HEALTH COUNSELOR
CA
Enumeration date
03/23/2007
Last updated
07/08/2007
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