Individual provider · Type 1 NPI

Lilly Tracey Hernandez, R1419440525

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1669363214 Active

Practice location

2330 Beverly Blvd
Los Angeles, CA 90057-2220

Call (213) 414-1132 Map

Fax (213) 748-2432

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1419440525 (CA)

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

91 other providers at this address

Other addiction (substance use disorder) counselor providers in Los Angeles

See all in Los Angeles →

About NPI 1669363214

Lilly Tracey Hernandez, R1419440525's National Provider Identifier is 1669363214, issued on Jul 11, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 14, 2025.