Individual provider · Type 1 NPI
Erica Leanna Herold
Addiction (Substance Use Disorder) Counselor · Provo, UT
NPI number
1407207384
Active
Practice location
1726 Buckley Ln
Provo, UT 84606-5031
Fax (801) 375-9225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407207384
Erica Leanna Herold's National Provider Identifier is 1407207384, issued on Jun 22, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Provo, UT. The record was last updated on Jun 22, 2016.