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Angie Janet Hernandez

Peer Specialist in Long Beach, CA. Individual provider (NPI-1).

NPI number1154180263
StatusActive
Last updated in NPPESAug 21, 2026

Details

NPI
1154180263
Entity type
Individual (NPI-1)
Name
Angie Janet Hernandez
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 19, 2024
Certification date
Aug 21, 2026
Last updated
Aug 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer SpecialistMPSS-INZGJCCAYes
225800000X Recreation Therapist––
373H00000X Day Training/Habilitation Specialist––
101YA0400X Counselor, Addiction (Substance Use Disorder)–CA

Practice location

2101 Magnolia Ave
Long Beach, CA 90806-4521

Phone 562-218-1868 · Fax 562-591-0346

Mailing address

20350 Anza Ave Apt 4
Torrance, CA 90503-2357

Phone 310-666-7634

Other practice locations

3633 E Broadway
Long Beach, CA 90803-6035

Phone 562-285-1330

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