person
Chantel Rodriguez Hernandez
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1609422302

Chantel Rodriguez Hernandez is an Addiction (Substance Use Disorder) Counselor based in Merced, CA and is specialized in Addiction (Substance Use Disorder). Chantel Rodriguez Hernandez practices in Fresno, CA. The NPI Number for Chantel Rodriguez Hernandez is 1609422302 and holds a License No. SUDR9888 (California).

The current practice location address for Chantel Rodriguez Hernandez is 2772 S Martin L King Jr Blvd, Fresno, CA and can be reached out via phone at 559-265-4818.

Location: 2772 S Martin L King Jr Blvd, Fresno, CA, 95348-3351
person
Provider Profile Details
NPI Number
1609422302
Provider Name
Chantel Rodriguez Hernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
2772 S Martin L King Jr Blvd, Fresno, CA, 95348-3351
Phone Number
559-265-4818
Fax Number
Provider Enumeration Date
08/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 CA
SUDR9888 01 CA CADTP
institution
Provider Business Practice Location Address Details
Address
2772 S Martin L King Jr Blvd
City
State
Zip
93706-5345
Phone Number
559-265-4818
Fax Number
person
Provider Business Mailing Address Details
Address
2772 S Martin L King Jr Blvd
City
State
Zip
93706-5345
Phone Number
559-265-4818
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
SUDR9888 (California)
Definition
Definition to come...
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