Individual provider · Type 1 NPI

Gina Hernandez

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1063247690 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Call (310) 519-8723 Map

Mailing address

24512 Lakme Ave
Wilmington, CA 90744-1115

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1578030924 (CA)

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

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About NPI 1063247690

Gina Hernandez's National Provider Identifier is 1063247690, issued on Sep 4, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Sep 4, 2024.