Anthony Jacob Hernandez, RADT Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Campo, CA

NPI

1417783697

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

R1573180824 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2024-09-12

Last updated

2024-09-12