Individual
LEORIDES R HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
Mailing address
5505 S 67TH EAST AVE, TULSA, OK 74145-8527
(520) 342-4075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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