Individual
MR. STEVE DONALD HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
140 QUAIL ST, MAHTOMEDI, MN 55115-1941
(612) 454-2468
(651) 459-2677
Mailing address
140 QUAIL ST, MAHTOMEDI, MN 55115-1941
(612) 454-2468
(651) 459-2677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302173
MN
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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