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Individual
JUAN HERRERA
Active
Individual
JUAN HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66557
TX
101YM0800X
Mental Health Counselor
66557
TX
101YP2500X
Professional Counselor
66557
TX
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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