Hernandez, Alfonso

Hernandez, Alfonso is an individual health care provider with primary practice located at 1717 Las Vegas St , Modesto CA 95358-5500. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Hernandez, Alfonso can be contacted via phone (209) 576-4200.

Contact Information

Primary practice address
1717 Las Vegas St Modesto CA 95358-5500
Phone: (209) 576-4200
Fax: (209) 556-5047
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LCS20714 California

Profile Details

NPI number 1942283148
LBN Legal business name Hernandez, Alfonso
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers