What is Adam Hernandez's NPI number?

The NPI number assigned to this healthcare provider is 1073048641, enumerated as a individual on April 20, 2017.

Where is the provider located?

The provider is located at 620 N AURORA ST STE 1 STOCKTON, CA 95202 and the phone number is (209) 468-3720.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

ADAM HERNANDEZ - NPI 1073048641 - Counselor in Stockton, CA

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About Adam Hernandez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM HERNANDEZ (NPI 1073048641) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1073048641

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameADAM HERNANDEZ

Location Address620 N AURORA ST STE 1Stockton, CA 95202-2276

Mailing Address620 N Aurora St Ste 1Stockton, CA 95202-2276 · (209) 468-3720 · Fax (209) 468-8640

Phone(209) 468-3720

Fax(209) 468-8640

Sole ProprietorNo

Enumeration DateApril 20, 2017

✔ NPI 1073048641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

620 N AURORA ST STE 1, Stockton, CA 95202

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BONNIE L MCCLELLAN

Counselor (Addiction (Substance Use Disorder))