Individual provider · Type 1 NPI
Jacob Andrew Hernandez, CAC II
Addiction (Substance Use Disorder) Counselor · Northglenn, CO
NPI number
1912223355
Active
Practice location
11750 Lincoln St
Northglenn, CO 80233-1107
Fax (303) 452-9133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ACB 6822 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912223355
Jacob Andrew Hernandez, CAC II's National Provider Identifier is 1912223355, issued on Apr 9, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Northglenn, CO. The record was last updated on Apr 9, 2010.