JOSE LUIS HERNANDEZ JR.
NPI 1346028594
Counselor - Addiction (Substance Use Disorder) in Stockton, CA
Active since September 19, 2023
About Jose Luis Hernandez Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSE LUIS HERNANDEZ JR. (NPI 1346028594) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1346028594
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOSE LUIS HERNANDEZ JR.
Location Address102 W BIANCHI RDStockton, CA 95207-7132
Mailing Address102 W Bianchi RdStockton, CA 95207-7132 · (209) 451-3628 · Fax (209) 932-9446
Phone(209) 451-3628
Fax(209) 932-9446
Sole ProprietorNo
Enumeration DateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1346028594 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
102 W BIANCHI RD, Stockton, CA 95207
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
102 W BIANCHI RD
STOCKTON, CA 95207
STOCKTON, CA 95207
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346028594, enumerated as an "individual" on September 19, 2023.
The provider is located at 102 W BIANCHI RD STOCKTON, CA 95207 and the phone number is (209) 451-3628.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
