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Fausto Herrera
Professional Counselor in Omak, Washington
NPI 1932252079

Fausto Herrera is a Professional Counselor based in Bridgeport, WA and is specialized in Professional. Fausto Herrera practices in Omak, WA. The NPI Number for Fausto Herrera is 1932252079 and holds a License No. RC00021222 (Washington).

The current practice location address for Fausto Herrera is 1007 Koala Ave, Omak, WA and can be reached out via phone at 509-826-6191.

Location: 1007 Koala Ave, Omak, WA, 98813-1134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932252079
Provider Name
Fausto Herrera
Credential
Provider Entity Type
Individual
Gender
Male
Address
1007 Koala Ave, Omak, WA, 98813-1134
Phone Number
509-826-6191
Fax Number
Provider Enumeration Date
01/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1007 Koala Ave
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
person
Provider Business Mailing Address Details
Address
1007 Koala Ave
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
RC00021222 (Washington)
Definition
Definition to come...
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