Provider Demographics
NPI:1528646122
Name:HERNANDEZ, VIRGINIA RONDERO (ACC, NBC-HWC, LCSW)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:RONDERO
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:ACC, NBC-HWC, LCSW
Other - Prefix:DR
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:RONDERO HERNANDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACC, NBC-HWC, LCSW
Mailing Address - Street 1:1326 TAUBENFELD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-4459
Mailing Address - Country:US
Mailing Address - Phone:559-307-3740
Mailing Address - Fax:559-472-3313
Practice Address - Street 1:1326 TAUBENFELD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-4459
Practice Address - Country:US
Practice Address - Phone:559-307-3740
Practice Address - Fax:559-472-3313
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX164491041C0700X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty