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Individual
MS. ILEANA HERRERA
Active
Individual
MS. ILEANA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63986
TX
101YM0800X
Mental Health Counselor
63986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059628-01
—
TX
05
—
205962801
—
TX
Enumeration date
09/17/2009
Last updated
08/03/2012
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