Individual
JAIR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 KIETZKE LN APT 64, RENO, NV 89502-5628
(775) 843-2795
Mailing address
4800 KIETZKE LN APT 64, RENO, NV 89502-5628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
02/26/2021
Last updated
03/22/2021
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