Individual
FERNANDO HERNANDEZ AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-I
Contact information
Practice address
3441 W SAHARA AVE STE C1, LAS VEGAS, NV 89102-6059
(702) 504-2813
Mailing address
4615 BALFOUR DR, LAS VEGAS, NV 89121-5645
(702) 504-2813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07416-I
NV
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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