Individual
MANUEL HERRERA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
907 BILOXI DR APT A, NORMAN, OK 73071-2321
(817) 999-3916
Mailing address
907 BILOXI DR APT A, NORMAN, OK 73071-2321
(817) 999-3916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
11/13/2013
Last updated
12/17/2013
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