Individual provider · Type 1 NPI

Cokelly Herrera

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1053928739 Active

Practice location

1235 Mchenry Ave Ste A
Modesto, CA 95350-5370

Mailing address

PO Box 511
Gustine, CA 95322-0511

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053928739

Cokelly Herrera's National Provider Identifier is 1053928739, issued on Sep 28, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Sep 28, 2020.