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Individual

JOSE A HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20151 NORDHOFF ST, CHATSWORTH, CA 91311-6215
(818) 407-3200
Mailing address
20151 NORDHOFF ST, CHATSWORTH, CA 91311-6215
(818) 407-3200

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
89491
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/06/2012
Last updated
09/08/2022
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