Individual
MS. MARY JESSICA HERRO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
17100 N 67TH AVE STE 400, GLENDALE, AZ 85308-3698
(602) 938-3323
(602) 938-1626
Mailing address
17100 N 67TH AVE STE 400, GLENDALE, AZ 85308-3698
(602) 938-3323
(602) 938-1626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2412
AZ
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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