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Individual
RICARDO HERNANDEZ
Active
Individual
RICARDO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
65387
CA
101Y00000X
Counselor
CP40793C1009
CA
101Y00000X
Counselor
Primary
DOMESTICVIOLENCE
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
H0905301608
CA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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