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Kelly N. Hernandez, MA

Counselor, Mental Health in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1285963363
StatusActive
Last updated in NPPESDec 18, 2009

Details

NPI
1285963363
Entity type
Individual (NPI-1)
Name
Kelly N. Hernandez
Credential
MA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 18, 2009
Last updated
Dec 18, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

341 Irwin Ln
Santa Rosa, CA 95401-5603

Phone 707-576-7218 · Fax 707-360-1540

Mailing address

341 Irwin Ln
Santa Rosa, CA 95401-5603

Phone 707-576-7218 · Fax 707-360-1540

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