Individual
MARIAH A HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
305 PACIFIC AVE S STE C, KELSO, WA 98626-1638
(360) 356-7759
Mailing address
120 SOLOMON RD APT B7, KELSO, WA 98626-1749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDPT.CO.61524437
WA
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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