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Lorretta Cruz Hernandez

Counselor, Addiction (Substance Use Disorder) in Anaheim, CA. Individual provider (NPI-1).

NPI number1336668607
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1336668607
Entity type
Individual (NPI-1)
Name
Lorretta Cruz Hernandez
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 18, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2071 S Jetty Dr Apt 3
Anaheim, CA 92802-4465

Phone 657-456-9861

Mailing address

2071 S Jetty Dr Apt 3
Anaheim, CA 92802-4465

Phone 657-456-9861

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