Provider Demographics
NPI:1700391463
Name:HERNANDEZ, AADRIANA MARIA (BA, AAC)
Entity Type:Individual
Prefix:
First Name:AADRIANA
Middle Name:MARIA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:BA, AAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 TIETON DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908
Mailing Address - Country:US
Mailing Address - Phone:509-965-7100
Mailing Address - Fax:509-453-2362
Practice Address - Street 1:5301 TIETON DRIVE
Practice Address - Street 2:SUITE C
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908
Practice Address - Country:US
Practice Address - Phone:509-965-7100
Practice Address - Fax:509-453-2362
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-04
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WA101Y00000X
WACG60815328171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator