LARRY HERRERA

TAOS, NM
NPI1255764262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0161971)
Enumeration Date2013-08-13
Last Update Date2018-01-26
Business Address
LARRY HERRERA LADAC
224 CRUZ ALTA ROAD
TAOS, NM 87571
Phone number: 575-737-5533
Mailing Address
LARRY HERRERA LADAC
224 CRUZ ALTA RD
TAOS, NM 87571-5947
Phone number: 575-737-5533