Individual provider · Type 1 NPI

Amada N/a Hernandez, CAC III

Addiction (Substance Use Disorder) Counselor · La Junta, CO

NPI number 1356646905 Active

Practice location

711 Barnes Ave
La Junta, CO 81050-2138

Fax (719) 336-0478

Mailing address

PO Box 4
Bristol, CO 81047-0004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7242 (CO)
Addiction (Substance Use Disorder) Counselor 101YA0400X7218 (CO)

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

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About NPI 1356646905

Amada N/a Hernandez, CAC III's National Provider Identifier is 1356646905, issued on Jan 12, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Junta, CO. The record was last updated on Dec 19, 2012.