Individual
CHARLES HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1103 N AVENUE H, FREEPORT, TX 77541-4006
(855) 862-3278
Mailing address
1103 N AVENUE H, FREEPORT, TX 77541-4006
(855) 862-3278
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11777
STATE LICENSE
TX
Enumeration date
06/02/2017
Last updated
07/21/2022
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