Individual
JUAN HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 CEDAR SPRING RD., 108, DALLAS, TX 75235
(972) 863-0749
Mailing address
5000 CEDAR SPRING RD., 108, DALLAS, TX 75235
(972) 863-0749
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66557
TX
101YM0800X
Mental Health Counselor
66557
TX
101YP2500X
Professional Counselor
66557
TX
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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