Individual provider · Type 1 NPI
Vanessa Eloise Hernandez, LISAC LAC
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1588019145
Active
Practice location
10000 N. 31st Ave., Applied Behavioral Interventions, Pllc
Phoenix, AZ 85051
Fax (602) 595-2511
Mailing address
4108 S. Adelle
Mesa, AZ 85212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC15037 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1588019145
Vanessa Eloise Hernandez, LISAC LAC's National Provider Identifier is 1588019145, issued on May 2, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on May 2, 2016.