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Individual

PRESTON LEE HERDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
2005 N IRONWOOD PKWY STE 224, COEUR D ALENE, ID 83814-2647
(619) 630-8033
Mailing address
2005 N IRONWOOD PKWY STE 224, COEUR D ALENE, ID 83814-2647
(619) 630-8033

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10491
CA
106H00000X
Marriage & Family Therapist
10502
ID
106H00000X
Marriage & Family Therapist
128647
CA
106H00000X
Marriage & Family Therapist
Primary
143009
CA
106H00000X
Marriage & Family Therapist
61660114
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10491
APCC
CA
01
10502
LMFT
ID
01
128647
AMFT
CA
01
143009
LMFT
CA
01
61660114
LF LMFT
WA
Enumeration date
04/29/2020
Last updated
06/30/2025
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