Individual
OSWALDO MANUEL HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO61336474
Contact information
Practice address
315 N 2ND ST, YAKIMA, WA 98901-2334
(509) 469-9366
Mailing address
315 N 2ND ST, YAKIMA, WA 98901-2334
(509) 305-0232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61336474
WA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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