Individual
DR. CRYSTAL DE SHANE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
222 KEITH ST, HANFORD, CA 93230-2910
(559) 583-7800
Mailing address
222 KEITH ST, HANFORD, CA 93230-2910
(559) 633-0618
(559) 583-7890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
01/09/2013
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