Adrian V Hernandez, co60692009
Counselor, Addiction (Substance Use Disorder) in Vancouver, WA. Individual provider (NPI-1).
NPI number1194358655
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1194358655
- Entity type
- Individual (NPI-1)
- Name
- Adrian V Hernandez
- Credential
- co60692009
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2020
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | co60692009 | WA | Yes |
Practice location
7017 Ne Highway 99 Ste 114Vancouver, WA 98665-0554
Phone 360-694-7484 · Fax 360-694-7479
Mailing address
7017 Ne Highway 99 Ste 114Vancouver, WA 98665-0554
Phone 360-694-7484 · Fax 360-694-7479
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