JACOB ANDREW HERNANDEZ

NORTHGLENN, CO
NPI1912223355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB 6822)
Enumeration Date2010-04-09
Last Update Date2010-04-09
Business Address
-- JACOB ANDREW HERNANDEZ CAC II
11750 LINCOLN ST
NORTHGLENN, CO 80233-1107
Phone number: 303-452-9133
Mailing Address
-- JACOB ANDREW HERNANDEZ CAC II
11750 LINCOLN ST
NORTHGLENN, CO 80233-1107
Phone number: 303-452-9133
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