Individual provider · Type 1 NPI

Judi Hernandez, CADC-II

Rehabilitation Practitioner · Arcadia, CA

NPI number 1639589260 Active

Practice location

330 E Live Oak Ave
Arcadia, CA 91006-5617

Call (626) 254-1411 Map

Mailing address

1330 N San Gabriel Ave Apt 4
Azusa, CA 91702-2058

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XA8910213 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XA07570315 (CA)
Rehabilitation Practitioner Primary 225400000XA07570315 (CA)
Rehabilitation Practitioner 225400000XNone listed
Rehabilitation Practitioner 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1639589260

Judi Hernandez, CADC-II's National Provider Identifier is 1639589260, issued on May 5, 2014. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Arcadia, CA. The record was last updated on Dec 20, 2021.