Individual
ULISES ALEJANDRO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
UNDERGRAD UNCO
Contact information
Practice address
1140 M ST, GREELEY, CO 80631-9586
(970) 313-1173
Mailing address
1140 M ST, GREELEY, CO 80631-9586
(970) 313-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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