Individual provider · Type 1 NPI

Manuel Hernandez, SUDRC 22935

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1609795491 Active

Practice location

4576 E Shields Ave
Fresno, CA 93726-7220

Call (559) 240-9206 Map

Mailing address

6035 W Babcock Ct
Visalia, CA 93291-9777

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22935 (CA)

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

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About NPI 1609795491

Manuel Hernandez, SUDRC 22935's National Provider Identifier is 1609795491, issued on Jul 14, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 26, 2026.