Most Relevant Information
Provider Data
| NPI Number: | 1003666801 |
| Provider Name: | HEATHER ANN MARIE HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
3648 EL PORTAL DR
REDDING
CA
960023133
Practice Location Phone/Fax
| Phone: | 5307221114 |
| Fax: |
Provider Mailing Location
3648 EL PORTAL DR
REDDING
CA
960023133
Provider Mailing Phone/Fax
| Phone: | 5307221114 |
| Fax: |