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NPI Code Detail

MEDICARE: DR. ALEXIS DAWN HERNANDEZ-HONS MFT

MEDICARE: DR. ALEXIS DAWN HERNANDEZ-HONS MFT
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1902948789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXIS DAWN HERNANDEZ-HONS MFT
Provider Business Mailing Address
First Line : 2630 1ST AVE
Second Line : SUITE 208
City : SAN DIEGO
State : CA
Zip : 92103-6599
Country : US
Telephone Number : 619-888-0174
Fax Number :
Provider Business Practice Location Address
First Line : 2630 1ST AVE
Second Line : SUITE 208
City : SAN DIEGO
State : CA
Zip : 92103-6599
Country : US
Telephone Number : 619-888-0174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 03/04/2010

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