Individual
MR. JEFFREY MARTIN HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1148 CROES AVE, BRONX, NY 10472-4502
(929) 358-9645
Mailing address
1148 CROES AVE, BRONX, NY 10472-4502
(929) 358-9645
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NY
101YM0800X
Mental Health Counselor
—
NY
101YP2500X
Professional Counselor
Primary
—
NY
104100000X
Social Worker
—
NY
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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