Individual provider · Type 1 NPI

Mariah A. Herrera, SUDPT

Addiction (Substance Use Disorder) Counselor · Kelso, WA

NPI number 1407799869 Active

Practice location

305 Pacific Ave S Ste C
Kelso, WA 98626-1638

Call (360) 356-7759 Map

Mailing address

120 Solomon Rd Apt B7
Kelso, WA 98626-1749

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDPT.CO.61524437 (WA)

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

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About NPI 1407799869

Mariah A. Herrera, SUDPT's National Provider Identifier is 1407799869, issued on Apr 10, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kelso, WA. The record was last updated on Apr 10, 2026.