Doctor Name: | VANESSA HERNANDEZ |
NPI Number: | 1124379946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 901 W Victoria St Ste F&g Compton, CA - 902205807 |
Business Phone Number: | 3106699510 |
Business Fax Number: | 3106699501 |
Mailing Address: | 1301 Pine Ave, LONG BEACH |
State: | CA |
Postal Code: | 908133124 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/20/2012 |
NPI Last Update Date: | 02/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |