Provider Demographics
NPI:1649002890
Name:HERNANDEZ ACEVES, MARIANA (PPS, APCC)
Entity type:Individual
Prefix:MS
First Name:MARIANA
Middle Name:
Last Name:HERNANDEZ ACEVES
Suffix:
Gender:F
Credentials:PPS, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 S SUNKIST ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-4716
Mailing Address - Country:US
Mailing Address - Phone:714-727-4249
Mailing Address - Fax:714-517-9235
Practice Address - Street 1:841 S SUNKIST ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-4716
Practice Address - Country:US
Practice Address - Phone:714-517-8923
Practice Address - Fax:714-517-9235
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool