Healthcare Provider Details

I. General information

NPI: 1447505136
Provider Name (Legal Business Name): KARINA HERNANDEZ LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3636 N 1ST ST STE 112
FRESNO CA
93726-6818
US

IV. Provider business mailing address

3636 N 1ST ST STE 112
FRESNO CA
93726-6818
US

V. Phone/Fax

Practice location:
  • Phone: 559-436-0482
  • Fax: 559-436-4650
Mailing address:
  • Phone: 559-436-0482
  • Fax: 559-436-4650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC5194
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: