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Individual
JUDI HERNANDEZ
Active
Individual
JUDI HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A07570315
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
A8910213
CA
225400000X
Rehabilitation Practitioner
Primary
A07570315
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
05/05/2014
Last updated
12/20/2021
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