Individual
VICTOR MANUEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO60521570
Contact information
Practice address
3350 AIRPORT DR, BELLINGHAM, WA 98226-8048
(360) 734-5458
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60521570
WA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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