Provider Demographics
NPI:1710342514
Name:HERNANDEZ, ERIKA MARIA (MA,)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:MARIA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6840 INDIANA AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4279
Mailing Address - Country:US
Mailing Address - Phone:951-788-0230
Mailing Address - Fax:951-823-5134
Practice Address - Street 1:6840 INDIANA AVE STE 275
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4279
Practice Address - Country:US
Practice Address - Phone:951-778-0230
Practice Address - Fax:951-823-5134
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1577101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional