Individual
JESSE E HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
2301 YALE BLVD SE BLDG F, ALBUQUERQUE, NM 87106-4228
(505) 272-7033
Mailing address
2301 YALE BLVD SE BLDG F, ALBUQUERQUE, NM 87106-4228
(505) 272-7033
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
175T00000X
Peer Specialist
1097
NM
Other
Enumeration date
06/18/2021
Last updated
03/05/2025
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