Individual
MAYCOL DANIEL PABLO HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
Mailing address
1557 N PACIFIC HWY SPC 51, COTTAGE GROVE, OR 97424-3122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-25-5122
OR
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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