Individual provider · Type 1 NPI

Mark Anthony Hernandez

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1003536384 Active

Practice location

1143 Missouri St
Fairfield, CA 94533-6007

Call (707) 435-9911 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003536384

Mark Anthony Hernandez's National Provider Identifier is 1003536384, issued on Aug 29, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Sep 11, 2025.