Individual provider · Type 1 NPI

Jayden Hernandez, LSAA

Addiction (Substance Use Disorder) Counselor · Las Vegas, NM

NPI number 1659118115 Active

Practice location

2301 7th St Ste A
Las Vegas, NM 87701-4966

Mailing address

105 Paseo Del Canon W Ste A
Taos, NM 87571-6943

Other practice locations

  • 105 Paseo Del Canon W Ste A, Taos, NM 87571-6943 · (575) 737-5533

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1659118115

Jayden Hernandez, LSAA's National Provider Identifier is 1659118115, issued on Jul 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NM. The record was last updated on Oct 23, 2024.