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NPI Code Detail

MEDICARE: JENNIFER HOPPER HERNANDEZ

MEDICARE:   JENNIFER HOPPER HERNANDEZ
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
2106H00000XMarriage & Family Therapist66682CA

General Provider Information

NPI Number : 1174679427
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HOPPER HERNANDEZ
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302
Country : UM
Telephone Number : 661-868-6601
Fax Number : 661-868-6666
Provider Business Practice Location Address
First Line : 17695 INDUSTRIAL FARM RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93308-9520
Country : US
Telephone Number : 661-868-6895
Fax Number : 661-868-5312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 02/21/2014

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Directions to “ JENNIFER HOPPER HERNANDEZ ” Practice Location

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