Healthcare Provider Details

I. General information

NPI: 1982164570
Provider Name (Legal Business Name): HERNANDEZ COUNSELING & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 03/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12440 FIRESTONE BLVD STE 201
NORWALK CA
90650-9323
US

IV. Provider business mailing address

12440 FIRESTONE BLVD STE 201
NORWALK CA
90650-9323
US

V. Phone/Fax

Practice location:
  • Phone: 562-450-0620
  • Fax: 424-378-6329
Mailing address:
  • Phone: 562-450-0620
  • Fax: 424-378-6329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA ANN HERNANDEZ
Title or Position: PRESIDEINT/OWNER
Credential: LMFT, LPCC, PSY.D.
Phone: 562-450-0620