Doctor Name: | JUAN PABLO HERNANDEZ |
NPI Number: | 1457657157 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | GUIDANCE/COUNCELOR |
License Number: | |
Business Practice Address: | 3465 Mcnutt Rd Sunland Park, NM - 880639056 |
Business Phone Number: | 5759151338 |
Business Fax Number: | 5759151819 |
Mailing Address: | 3465 Mcnutt, SUNLAND PARK |
State: | NM |
Postal Code: | 880634310 |
Phone Number: | 5759151338 |
Fax Number: | 5759151819 |
NPI Enumeration Date: | 01/28/2011 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |