Individual provider · Type 1 NPI
Juvencio Gabriel Hernandez
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1508061789
Active
Practice location
4309 Leimert Blvd
Los Angeles, CA 90008-5201
Fax (323) 293-6005
Mailing address
3735 W 60th St
Los Angeles, CA 90043-2938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1508061789
Juvencio Gabriel Hernandez's National Provider Identifier is 1508061789, issued on Jun 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 9, 2007.