Whalio Doctors

NPI 1003679473

Jacob Hernandez, LAC

Practitioner Marriage & Family Therapist Jersey City, NJ

Practice location

Address
176 Palisade Ave, Jersey City, NJ 07306-1121
Phone
(201) 795-8200
Mailing address
117 Sherman Pl APT 1, Jersey City, NJ 07307-3735

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 37AC00484200 (NJ)

Registry record

NPI
1003679473
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jan 2024
Record last updated
30 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.