Individual
MARCUS HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2008 11TH ST, GREAT BEND, KS 67530-4476
(620) 793-3164
(620) 793-3161
Mailing address
2008 11TH ST, GREAT BEND, KS 67530-4476
(620) 793-3164
(620) 793-3161
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2999
KS
Other
Enumeration date
08/23/2016
Last updated
01/27/2017
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