Individual
LARRY HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
224 CRUZ ALTA ROAD, TAOS, NM 87571
(575) 737-5533
(575) 737-5534
Mailing address
224 CRUZ ALTA RD, TAOS, NM 87571-5947
(575) 737-5533
(575) 737-5534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0161971
NM
Other
Enumeration date
08/13/2013
Last updated
01/26/2018
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