Individual provider · Type 1 NPI
Jimmy De Herrera, C.A.S. II
Addiction (Substance Use Disorder) Counselor · Longmont, CO
NPI number
1598112112
Active
Practice location
24 9th Ave
Longmont, CO 80501-4575
Mailing address
PO Box 912
Kersey, CO 80644-0912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ACB.0007468 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1598112112
Jimmy De Herrera, C.A.S. II's National Provider Identifier is 1598112112, issued on May 24, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longmont, CO. The record was last updated on Jan 6, 2025.