Individual provider · Type 1 NPI

Jackie Andrade Hernandez

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

NPI number 1912334707 Active

Practice location

1212 S 43rd St, Suite C
San Diego, CA 92113-3434

Call (619) 263-7768 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1912334707

Jackie Andrade Hernandez's National Provider Identifier is 1912334707, issued on Oct 11, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Oct 11, 2013.