JACKIE ANDRADE HERNANDEZ
NPI 1912334707
Counselor - Addiction (Substance Use Disorder) in San Diego, CA
Active since October 11, 2013
About Jackie Andrade Hernandez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE ANDRADE HERNANDEZ (NPI 1912334707) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since October 2013.
NPPES Registry Identity
NPI1912334707
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE ANDRADE HERNANDEZ
Location Address1212 S 43RD ST, SUITE CSan Diego, CA 92113-3434
Mailing Address1212 S 43rd St, Suite CSan Diego, CA 92113-3434 · (619) 263-7768
Phone(619) 263-7768
Sole ProprietorNo
Enumeration DateOctober 11, 2013
✔ NPI 1912334707 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
1212 S 43RD ST, San Diego, CA 92113
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))
1212 S 43RD ST, SUITE#C
SAN DIEGO, CA 92113
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
1212 S 43RD ST
SAN DIEGO, CA 92113
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
1212 S 43RD ST, SUITE C
SAN DIEGO, CA 92113
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
1212 S 43RD ST, SUITE C
SAN DIEGO, CA 92113
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
1212 S 43RD ST, SUITE C,D,E
SAN DIEGO, CA 92113
SAN DIEGO, CA 92113
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912334707, enumerated as an "individual" on October 11, 2013.
The provider is located at 1212 S 43RD ST SUITE C SAN DIEGO, CA 92113 and the phone number is (619) 263-7768.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
