Provider Demographics
NPI:1518938752
Name:HERNANDEZ, ANNE PATRICIA (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:PATRICIA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 S POLK ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-3152
Mailing Address - Country:US
Mailing Address - Phone:806-372-4357
Mailing Address - Fax:806-372-4355
Practice Address - Street 1:1711 S POLK ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-3152
Practice Address - Country:US
Practice Address - Phone:806-372-4357
Practice Address - Fax:806-372-4355
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6406101YA0400X
TX12643101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health