TABATHA HERNANDEZ CADC II
NPI 1396143160
Counselor - Addiction (Substance Use Disorder) in Atwater, CA
Active since December 10, 2014
About Tabatha Hernandez Cadc Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABATHA HERNANDEZ CADC II (NPI 1396143160) is an individual addiction (substance use disorder) provider in Atwater, California, licensed in California (A043271216) and active in the NPI registry since December 2014. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1396143160
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTABATHA HERNANDEZCredential: CADC II
Location Address508 MENDOCINO CTAtwater, CA 95301-4230
Mailing Address508 Mendocino CtAtwater, CA 95301-4230 · (209) 357-5269 · Fax (209) 357-5269
Phone(209) 357-5269
Sole ProprietorYes
Enumeration DateDecember 10, 2014
Last NPPES UpdateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1396143160 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
License✔ Licensed in CA · A043271216
508 MENDOCINO CT, Atwater, CA 95301
Secondary Practice Locations 2
Location 11299 Yosemite PkwyMerced, CA 95340-5265 · Phone (209) 722-6335 · Fax (209) 722-6371
Location 2559 Mendocino CtAtwater, CA 95301-4230 · Phone (209) 357-5200 · Fax (209) 357-5279
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Counselor (Addiction (Substance Use Disorder))
508 MENDOCINO CT
ATWATER, CA 95301
ATWATER, CA 95301
Counselor (Addiction (Substance Use Disorder))
508 MENDOCINO CT
ATWATER, CA 95301
ATWATER, CA 95301
Counselor (Addiction (Substance Use Disorder))
508 MENDOCINO CT
ATWATER, CA 95301
ATWATER, CA 95301
Substance Abuse Rehabilitation Facility
508 MENDOCINO CT
ATWATER, CA 95301
ATWATER, CA 95301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396143160, enumerated as an "individual" on December 10, 2014.
The provider is located at 508 MENDOCINO CT ATWATER, CA 95301 and the phone number is (209) 357-5269.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
