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Individual

VANESSA ELOISE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISAC LAC

Contact information

Practice address
10000 N. 31ST AVE., APPLIED BEHAVIORAL INTERVENTIONS, PLLC, PHOENIX, AZ 85051
(609) 412-0853
(602) 595-2511
Mailing address
4108 S. ADELLE, MESA, AZ 85212
(609) 412-0853
(602) 595-2511

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC15037
AZ

Other

Enumeration date
05/02/2016
Last updated
05/02/2016
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