Mark Anthony Hernandez
Mark Anthony Hernandez is an Addiction (Substance Use Disorder) Counselor in Fairfield, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
1143 Missouri StFairfield, CA 94533-6007
Phone: (707) 435-9911
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|
Record details
| NPI number | 1003536384 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2022 |
| Last updated in NPPES | September 11, 2025 |
| Certification date | August 19, 2022 |
| Mailing address | 1143 Missouri St, Fairfield, CA 94533-6007 |
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