Individual provider · Type 1 NPI

Juan Hernandez, RRW

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1114362167 Active

Practice location

976 Lenzen Ave, San Jose, Room 12
San Jose, CA 95126-2737

Call (408) 792-5257 Map

Fax (408) 947-8719

Mailing address

151 W Mission St, Suite, 100
San Jose, CA 95110-1713

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR2571014 (CA)

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

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About NPI 1114362167

Juan Hernandez, RRW's National Provider Identifier is 1114362167, issued on May 3, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Dec 19, 2014.