JIMMY DE HERRERA

LONGMONT, CO
NPI1598112112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB.0007468)
Enumeration Date2016-05-24
Last Update Date2016-05-24
Business Address
-- JIMMY DE HERRERA CAC II
1129 FRANCIS ST
LONGMONT, CO 80501-3703
Phone number: 303-772-3853
Mailing Address
-- JIMMY DE HERRERA CAC II
1129 FRANCIS ST
LONGMONT, CO 80501-3703
Phone number: 303-772-3853
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