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NPI Code Detail

MEDICARE: ALICE MARIE HERNANDEZ LPC

MEDICARE: ALICE MARIE HERNANDEZ LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor90996TX

General Provider Information

NPI Number : 1699260695
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE MARIE HERNANDEZ LPC
Provider Business Mailing Address
First Line : 5522 LONE STAR PKWY STE 303
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6722
Country : US
Telephone Number : 210-664-1275
Fax Number :
Provider Business Practice Location Address
First Line : 5522 LONE STAR PKWY STE 303
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6722
Country : US
Telephone Number : 210-664-1275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2018
Last Update Date : 06/17/2026

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Directions to “ ALICE MARIE HERNANDEZ LPC” Practice Location

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