Individual
TERRY H HERNANDEZ-RUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 E HAWAII AVE, NAMPA, ID 83686
(208) 463-3000
(208) 463-3034
Mailing address
2505 MARSHALL PL, CALDWELL, ID 83605-1682
(208) 463-3000
(208) 463-3034
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-36255
ID
Other
Enumeration date
07/06/2011
Last updated
03/10/2021
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