Individual provider · Type 1 NPI

Lisa Vanessa Hernandez, SUDCCIII

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1760229223 Active

Practice location

10001 County Farm Rd
Riverside, CA 92503-3507

Call (951) 539-5188 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11330 (CA)

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

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About NPI 1760229223

Lisa Vanessa Hernandez, SUDCCIII's National Provider Identifier is 1760229223, issued on Jul 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Oct 19, 2026.