Individual
ALLISON HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, RP
Contact information
Practice address
1530 S TEJON ST, COLORADO SPRINGS, CO 80905-2214
(719) 424-5330
Mailing address
1530 S TEJON ST, COLORADO SPRINGS, CO 80905-2214
(719) 424-5330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NLC.0108635
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SWC.0000000120
CO
Other
Enumeration date
03/15/2019
Last updated
10/24/2022
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