Individual
TEDI HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., CPSS, CFSP
Contact information
Practice address
8675 W ARDENE ST, BOISE, ID 83709-2601
(208) 780-3900
(208) 375-2882
Mailing address
10870 W TAHITI ST, BOISE, ID 83713-5162
(208) 371-0215
(208) 375-2882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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