Individual provider · Type 1 NPI

Jacqueline Eliza Hernandez, MHC-LP

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1033705538 Active

Practice location

19 Union Sq W Fl 7
New York, NY 10003-3304

Call (212) 627-9600 Map

Mailing address

1662 Cornelia St
Ridgewood, NY 11385-4723

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X100455-01 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033705538

Jacqueline Eliza Hernandez, MHC-LP's National Provider Identifier is 1033705538, issued on Dec 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Dec 18, 2020.