Individual
EDGAR ENRIQUE HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N KANSAS AVE, LIBERAL, KS 67901-3304
(620) 604-5111
Mailing address
239 W PANCAKE BLVD STE 106, LIBERAL, KS 67901-4007
(620) 621-9543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-04214-T
KS
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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