TIMOTHY HERNANDEZ

FAIRHAVEN, MA
NPI1336501691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MA  11680)
Enumeration Date2016-03-25
Last Update Date2016-03-25
Business Address
TIMOTHY HERNANDEZ LADC I
295 SCONTICUT NECK RD
FAIRHAVEN, MA 02719-1506
Phone number: 508-863-6733
Mailing Address
TIMOTHY HERNANDEZ LADC I
295 SCONTICUT NECK RD
FAIRHAVEN, MA 02719-1506
Phone number: 508-863-6733
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