Individual
MR. JACOB HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8200
Mailing address
117 SHERMAN PL APT 1, JERSEY CITY, NJ 07307-3735
(201) 674-2876
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00484200
NJ
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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