JAMIE HERRERA

PHOENIX, AZ
NPI1831571918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC10664)
Enumeration Date2015-06-24
Last Update Date2019-02-26
Business Address
JAMIE HERRERA LISAC
2311 W ROYAL PALM RD
PHOENIX, AZ 85021-4916
Phone number: 602-353-2340
Mailing Address
JAMIE HERRERA LISAC
202 E EARLL DR STE 200
PHOENIX, AZ 85012-2647
Phone number: 602-808-2800
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