person
Sylvia Malissa Hernandez, CADC1
Addiction (Substance Use Disorder) Counselor in Bloomington, California
NPI 1881857944

Sylvia Malissa Hernandez is an Addiction (Substance Use Disorder) Counselor based in Bloomington, CA and is specialized in Addiction (Substance Use Disorder). Sylvia Malissa Hernandez practices in Bloomington, CA and has the professional credentials of CADC1. The NPI Number for Sylvia Malissa Hernandez is 1881857944 and holds a License No. (California).

The current practice location address for Sylvia Malissa Hernandez is 18612 Santa Ana Ave, Bloomington, CA and can be reached out via phone at 909-421-7120.

Location: 18612 Santa Ana Ave, Bloomington, CA, 92316-2639
person
Provider Profile Details
NPI Number
1881857944
Provider Name
Sylvia Malissa Hernandez
Credential
CADC1
Provider Entity Type
Individual
Gender
Female
Address
18612 Santa Ana Ave, Bloomington, CA, 92316-2639
Phone Number
909-421-7120
Fax Number
Provider Enumeration Date
07/08/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33352 01 CA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
18612 Santa Ana Ave
City
State
Zip
92316-2639
Phone Number
909-421-7120
Fax Number
person
Provider Business Mailing Address Details
Address
18612 Santa Ana Ave
City
State
Zip
92316-2639
Phone Number
909-421-7120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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