Individual
BERTHA HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
(805) 890-6057
Mailing address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
(805) 890-6057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2007
Last updated
08/08/2008
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