Individual
ALFONSO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1717 LAS VEGAS ST, MODESTO, CA 95358-5500
(209) 576-4200
(209) 556-5047
Mailing address
737 W CHILDS AVE, MERCED, CA 95340-6805
(209) 383-1848
(209) 384-3966
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCS20714
CA
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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