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Individual

JEFFREY HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APCC

Contact information

Practice address
995 GATEWAY CENTER WAY STE 300, SAN DIEGO, CA 92102-4550
(619) 398-2156
Mailing address
995 GATEWAY CENTER WAY STE 300, SAN DIEGO, CA 92102-4550
(619) 398-2156

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
APCC15883
CA
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/05/2018
Last updated
03/15/2024
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