Individual
ELSA IVONNE HERRERA OLIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 RANCHEROS DR STE 166, SAN MARCOS, CA 92069-2980
(760) 744-3672
Mailing address
501 RUSH DR APT 7, SAN MARCOS, CA 92078-7948
(760) 270-3565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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