Andrea E Hernandez, LMFT
Individual provider Active NPI Marriage & Family Therapist · Calimesa, CA
NPI 1134567423 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1134567423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 101339 (CA)
- Practice address
- 1096 Calimesa Blvd Ste D304
Calimesa, CA 92320-1563 - Phone
- (951) 796-6649
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101339 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 101339 | CA | Yes |
Addresses
Primary practice location
1096 Calimesa Blvd Ste D304
Calimesa, CA 92320-1563
Mailing address
1096 Calimesa Blvd Ste D304
Calimesa, CA 92320-1563
Other practice location 1
5870 Arlington Ave
103
Riverside, CA 92504-2037
Phone (951) 683-6596
Other providers in Calimesa, CA
- Theldon Fryberger Jr.
- Future Stars Youth Services
- Sowmya Narayanan Gopalan
- Mark A Gray
- Alaina Marie Helt
- Mary B Hickey
- Claudia Jaime
- Jonbec Care Inc
- Julzz Careful Commit
- L&L Live Well Nursing Professional Corporation
All providers in Calimesa, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.