Individual
JANINE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
19045 STATE HIGHWAY 305 NE STE 190, POULSBO, WA 98370-7312
(360) 876-9430
Mailing address
4060 WHEATON WAY STE F, BREMERTON, WA 98310-3500
(360) 876-9430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP70057433
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
04/15/2026
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