Individual
MR. DIONICIO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9813 S BLACKWELDER AVE, OKLAHOMA CITY, OK 73139-5554
(817) 715-4081
Mailing address
9813 S BLACKWELDER AVE, OKLAHOMA CITY, OK 73139
(817) 715-4081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/29/2012
Last updated
07/01/2014
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