person
Decislava Petrova Herriman, ADT2472
Addiction (Substance Use Disorder) Counselor in California, Maryland
NPI 1013683663

Decislava Petrova Herriman is an Addiction (Substance Use Disorder) Counselor based in Mechanicsville, MD and is specialized in Addiction (Substance Use Disorder). Decislava Petrova Herriman practices in California, MD and has the professional credentials of ADT2472. The NPI Number for Decislava Petrova Herriman is 1013683663 and holds a License No. ADT2472 (Maryland).

The current practice location address for Decislava Petrova Herriman is 44871 Saint Andrews Church Road, California, MD and can be reached out via phone at 301-997-1300.

Location: 44871 Saint Andrews Church Road, California, MD, 20659-4522
person
Provider Profile Details
NPI Number
1013683663
Provider Name
Decislava Petrova Herriman
Credential
ADT2472
Provider Entity Type
Individual
Gender
Female
Address
44871 Saint Andrews Church Road, California, MD, 20659-4522
Phone Number
301-997-1300
Fax Number
Provider Enumeration Date
08/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
44871 Saint Andrews Church Road
City
State
Zip
20619
Phone Number
301-997-1300
Fax Number
person
Provider Business Mailing Address Details
Address
44871 Saint Andrews Church Road
City
State
Zip
20619
Phone Number
301-997-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
ADT2472 (Maryland)
Definition
Definition to come...
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