Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Jacob Hernandez, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417783697

Anthony Jacob Hernandez, RADT is an Addiction (Substance Use Disorder) Counselor in Campo, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone: (619) 478-5696
Fax: (619) 478-2404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1573180824 (CA)

Record details

NPI number1417783697
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

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