Individual ProviderAndrea Michelle HernandezCounselorBehavioral Health & Social Service ProvidersPractice Address1212 N California St, Stockton, CA 95202-1552(209) 468-8686PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Michelle Hernandez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1003408931Provider TypeIndividualFull NameHernandez, Andrea MichelleGenderFemaleSole ProprietorNoEnumeration Date2/11/2021Last Updated2/11/2021Contact InformationPractice LocationPractice Address1212 N California St, Stockton, CA 95202-1552Phone(209) 468-8686FaxUnlisted FaxMailing LocationMailing Address1212 N California St, Stockton, CA 95202-1552Phone(209) 468-8686FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer