NPI 1003536384

Mark Anthony Hernandez

Practitioner Addiction (Substance Use Disorder) Counselor Fairfield, CA

Practice location

Address: 1143 Missouri St, Fairfield, CA 94533-6007
Phone: (707) 435-9911

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1003536384
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2022
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.