Individual
ADRIAN V HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO60692009
Contact information
Practice address
7017 NE HIGHWAY 99 STE 114, VANCOUVER, WA 98665-0554
(360) 694-7484
(360) 694-7479
Mailing address
7017 NE HIGHWAY 99 STE 114, VANCOUVER, WA 98665-0554
(360) 694-7484
(360) 694-7479
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60692009
WA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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