JUAN HERNANDEZ-CODALLOS

Social Worker - Clinical

Active Individual
NPI: 1740613306

Practice Address

615 ROGER CANYON RD
Laramie, WY 82072

Phone: (209) 918-8761

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X No -
Case Manager/Care Coordinator 171M00000X No -
Social Worker - Clinical 1041C0700X Yes 92529 (CA)

Frequently Asked Questions

NPI 1740613306 is the National Provider Identifier for JUAN HERNANDEZ-CODALLOS, a Social Worker - Clinical provider located in Laramie, WY. This NPI was enumerated on August 17, 2013.
JUAN HERNANDEZ-CODALLOS practices at 615 ROGER CANYON RD, Laramie, WY 82072.

Quick Facts

NPI
1740613306
Type
Individual
Enumerated
Aug 17, 2013
Last Updated
Jul 31, 2023

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