Individual
ANDREA HERENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E MAIN ST STE 600, OTHELLO, WA 99344-1146
(509) 488-4074
Mailing address
425 E MAIN ST STE 600, OTHELLO, WA 99344-1146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60433603
WA
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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