Individual ProviderVictor HernandezCounselorBehavioral Health & Social Service ProvidersPractice Address3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968(509) 735-6446PECOS EnrollmentBased on the most recent information from CMS, provider Victor Hernandez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1093485005Provider TypeIndividualFull NameHernandez, VictorGenderMaleSole ProprietorNoEnumeration Date9/20/2021Last Updated9/20/2021Contact InformationPractice LocationPractice Address3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968Phone(509) 735-6446FaxUnlisted FaxMailing LocationMailing Address3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968Phone(509) 735-6446FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer