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Individual
MR. RUDY HERNANDEZ PEREZ
Active
Individual
MR. RUDY HERNANDEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-I, CBHCMS,CMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ISW18375
FL
1041C0700X
Clinical Social Worker
Primary
ISW18375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CBHCM0103610
FLORIDA CERTIFICATION BOARD
FL
01
—
CBHCMS0102594
FLORIDA CERTIFICATION BOARD
FL
01
—
ISW18375
FLORIDA HEALTH DEPARTMENT
FL
Enumeration date
12/21/2022
Last updated
04/21/2023
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