Individual
AMANDA ELISE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1650 LAS PLUMAS AVE STE K, SAN JOSE, CA 95133-1657
(140) 827-2674
Mailing address
1650 LAS PLUMAS AVE STE K, SAN JOSE, CA 95133-1657
(140) 827-2674
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
06/23/2021
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