LISETTE MACIEL HERNANDEZ APCC
NPI 1710585484
Counselor - Professional in Modesto, CA
- Individual
- Female
- Counselor
- Professional
About LISETTE MACIEL HERNANDEZ
This page provides the complete NPI Profile along with additional information for Lisette Maciel Hernandez, a provider established in Modesto, California with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1710585484 assigned on October 2020. The practitioner's primary taxonomy code is 101YP2500X with license number 20017 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1710585484 Verify this NPI
- Provider Name
- LISETTE MACIEL HERNANDEZ APCC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3508 DALE RD STE B MODESTO, CA 95356
- Location Phone
- (209) 721-6630
- Mailing Address
- 2748 SANTIAGO DR MODESTO, CA 95354
- Mailing Phone
- (559) 517-4257
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-14-2020
- Last Update Date
- 09-29-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 20017
- License State
- CA
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MODESTO, CA 95356
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710585484, enumerated as an "individual" on October 14, 2020.
The provider is located at 3508 DALE RD STE B MODESTO, CA 95356 and the phone number is (209) 721-6630.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
