Individual
MR. JIMMY DE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.A.S. II
Contact information
Practice address
24 9TH AVE, LONGMONT, CO 80501-4575
(303) 772-3853
Mailing address
PO BOX 912, KERSEY, CO 80644-0912
(303) 772-3853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007468
CO
Other
Enumeration date
05/24/2016
Last updated
01/06/2025
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