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Individual
JENNIFER R HERNANDEZ
Active
Individual
JENNIFER R HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25-QMHA-R-8029
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-24-3639
—
175T00000X
Peer Specialist
22-CRM-1469
OR
Other
Enumeration date
08/09/2023
Last updated
03/04/2026
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