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1659118115
JAYDEN HERNANDEZ
LAS VEGAS, NM
NPI
1659118115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2024-07-11
Last Update Date
2024-10-23
Business Address
JAYDEN HERNANDEZ LSAA
2301 7TH ST STE A
LAS VEGAS, NM 87701-4966
Phone number: 505-454-9611
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Mailing Address
JAYDEN HERNANDEZ LSAA
105 PASEO DEL CANON W STE A
TAOS, NM 87571-6943
Phone number: 575-737-5533
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