Liberty Hebron, is a
Student In An Organized Health Care Education/training Program based in San Jose, California. Liberty Hebron is licensed to practice in * (Not Available) (license number ) and her current practice location is
2001 The Alameda, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 261-7777.
NPI number for Liberty Hebron is 1720537160 and her current mailing address is 1922 The Alameda Ste 316, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720537160.
Healthcare Provider's Profile
| Full Name | Liberty Hebron |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2001 The Alameda, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720537160
- Provider Enumeration Date: 09/27/2016
- Last Update Date: 07/15/2024
Medical Identifiers
Medical identifiers for Liberty Hebron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720537160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | PCCI 1581 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Liberty Hebron is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Liberty Hebron,
1922 The Alameda Ste 316,
San Jose, CA 95126-1461
Ph: (408) 261-7777 | Liberty Hebron,
2001 The Alameda,
San Jose, CA 95126-1136
Ph: (408) 261-7777 |
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