Individual
CARLOS MAURICIO HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
5007 STONEY CREEK RD UNIT 431, CULVER CITY, CA 90230-8409
(310) 869-9009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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