Individual
BERTA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7232 CANBY AVE STE 4, RESEDA, CA 91335-8143
(818) 705-5561
Mailing address
7232 CANBY AVE STE 4, RESEDA, CA 91335-8143
(818) 705-5561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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