Individual
CESAR HERNANDEZ ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
1181 SW RAMSEY AVE, GRANTS PASS, OR 97527-5835
(541) 476-2373
Mailing address
310 NE TERRY LN UNIT 3C, GRANTS PASS, OR 97526-4802
(541) 659-5332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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