Ismael Hernandez, LSW, CADCI

NPI 1124454814 · on the registry since 2013 · sole proprietor

Practice

Address: 704 Albany St
Caldwell, ID 83605
Phone: (208) 454-5133
Fax: (208) 454-0749
Organisation at this address: Family Services Center
Family Services Counseling Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 104100000X
104100000X
Also registered as: 101YA0400X
Licence states on file: ID, OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho