Individual
GLORIA ERNESTINA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADTP #6620
Contact information
Practice address
555 POLK ST, SAN FRANCISCO, CA 94102-3333
(628) 217-6410
Mailing address
1249 SCOTT ST, SAN FRANCISCO, CA 94115-4008
(415) 922-9104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
H1004161504
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
04/14/2022
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