person
Samuel F Heredia, H14040440950
Addiction (Substance Use Disorder) Counselor in Aptos, California
NPI 1740522747

Samuel F Heredia is an Addiction (Substance Use Disorder) Counselor based in Aptos, CA and is specialized in Addiction (Substance Use Disorder). Samuel F Heredia practices in Aptos, CA and has the professional credentials of H14040440950. The NPI Number for Samuel F Heredia is 1740522747 and holds a License No. H1404040950 (California).

The current practice location address for Samuel F Heredia is 105 Post Office Dr, Aptos, CA and can be reached out via phone at 831-476-1747 and via fax at 831-685-1703.

Location: 105 Post Office Dr, Aptos, CA, 95003-3953
person
Provider Profile Details
NPI Number
1740522747
Provider Name
Samuel F Heredia
Credential
H14040440950
Provider Entity Type
Individual
Gender
Male
Address
105 Post Office Dr, Aptos, CA, 95003-3953
Phone Number
831-476-1747
Fax Number
831-685-1703
Provider Enumeration Date
03/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
770488100 01 CA SOBRIETY WORKS
institution
Provider Business Practice Location Address Details
Address
105 Post Office Dr
City
State
Zip
95003-3953
Phone Number
831-476-1747
Fax Number
831-685-1703
person
Provider Business Mailing Address Details
Address
105 Post Office Dr
City
State
Zip
95003-3953
Phone Number
831-476-1747
Fax Number
831-685-1703
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
H1404040950 (California)
Definition
Definition to come...
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