Samuel F Heredia, H14040440950

NPI #1740522747 in Aptos, California

Provider Information

NPI Number
1740522747
Entity Type
Individual
Name
Samuel F Heredia, H14040440950
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
H14040440950
Enumeration Date
Mar 18, 2013
Last Updated
Jun 10, 2014

Practice Location

Address
105 POST OFFICE DR
Address 2
#F
City
Aptos
ZIP Code
95003-3953
Phone
(831) 476-1747

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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