Individual provider · Type 1 NPI

Lenneris Betzaida Hernandez Ploche

Mental Health Counselor · Fairfield, CA

NPI number 1548936982 Active

Practice location

275 Beck Ave
Fairfield, CA 94533-6804

Call (707) 784-8295 Map

Mailing address

PO Box 581033
Elk Grove, CA 95758-0018

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X100170 (CA)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1548936982

Lenneris Betzaida Hernandez Ploche's National Provider Identifier is 1548936982, issued on Aug 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on Jun 5, 2023.