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Jackie Andrade Hernandez
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1912334707

Jackie Andrade Hernandez is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Jackie Andrade Hernandez practices in San Diego, CA. The NPI Number for Jackie Andrade Hernandez is 1912334707 and holds a License No. (California).

The current practice location address for Jackie Andrade Hernandez is 1212 S 43Rd St, San Diego, CA and can be reached out via phone at 619-263-7768.

Location: 1212 S 43Rd St, San Diego, CA, 92113-3434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912334707
Provider Name
Jackie Andrade Hernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1212 S 43Rd St, San Diego, CA, 92113-3434
Phone Number
619-263-7768
Fax Number
Provider Enumeration Date
10/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1212 S 43Rd St
City
San Diego
State
California
Zip
92113-3434
Phone Number
619-263-7768
Fax Number
person
Provider Business Mailing Address Details
Address
1212 S 43Rd St
City
San Diego
State
California
Zip
92113-3434
Phone Number
619-263-7768
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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