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MRS. DEBRA LYNN HERNANDEZ SUD COUNSELOR NPI 1083903736


NPI Information

NPI: 1083903736
Provider Name: MRS. DEBRA LYNN HERNANDEZ, SUD COUNSELOR
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11201 CONSTELLATION DR
EL CAJON, CA
ZIP 92020
Phone: (619) 847-5174
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MRS. Debra Lynn Hernandez, SUD COUNSELOR is an addiction (substance use disorder) counselor in El Cajon, CA. MRS. Debra Lynn Hernandez, SUD COUNSELOR NPI is 1083903736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11201 CONSTELLATION DR
EL CAJON, CA
ZIP 92020
Phone: (619) 847-5174

The enumeration date for this NPI number is 4/4/2011 and was last updated on 6/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)CI25470618CALIFORNIAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)040877ICALIFORNIANo
3101YA0400XCounselorAddiction (Substance Use Disorder)No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11083903736OTHERCALIFORNIAPRIVATE INSURANCE
21083903736OTHERCALIFORNIA1083903736

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.