Provider Demographics
NPI:1225551633
Name:HERNANDEZ, TONY PETE JR (CADC II)
Entity type:Individual
Prefix:MR
First Name:TONY
Middle Name:PETE
Last Name:HERNANDEZ
Suffix:JR
Gender:M
Credentials:CADC II
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93275-0688
Mailing Address - Country:US
Mailing Address - Phone:559-688-7531
Mailing Address - Fax:559-688-3509
Practice Address - Street 1:793 N CHERRY ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2205
Practice Address - Country:US
Practice Address - Phone:559-688-7531
Practice Address - Fax:559-688-3509
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA066390525101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)