Individual
MR. TONY JAY HINOJOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADCI-U,ICADC
Contact information
Practice address
806 NW 6TH ST, GRANTS PASS, OR 97526
(541) 890-6950
(541) 479-2370
Mailing address
1842 VALLEY VIEW DR., MEDFORD, OR 97504
(541) 890-6950
(541) 479-2370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13490
CAS
CA
Enumeration date
04/25/2014
Last updated
06/20/2018
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