Individual
SORAIDA HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAT
Contact information
Practice address
805 HIGHWAY 589, PURVIS, MS 39475-4194
(601) 794-6543
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CA0105
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA0105
MS
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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