Ismael Hernandez, LSW, CADCI

NPI #1124454814 in Caldwell, Idaho

Provider Information

NPI Number: 1124454814
Entity Type: Individual
Name: Ismael Hernandez, LSW, CADCI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW, CADCI
Enumeration Date: Sep 25, 2013
Last Updated: Sep 25, 2013

Practice Location

Address: 704 ALBANY ST
City: Caldwell
State: Idaho
ZIP Code: 83605-3501
Phone: (208) 454-5133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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