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NPI Code Detail

MEDICARE: DANIELLE MARIE HERRERA

MEDICARE: DANIELLE MARIE HERRERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist124770CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669952412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARIE HERRERA
Provider Business Mailing Address
First Line : 1528 WOOLSEY ST APT A
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2353
Country : US
Telephone Number : 415-715-9583
Fax Number :
Provider Business Practice Location Address
First Line : 2903 SACRAMENTO ST
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2509
Country : US
Telephone Number : 415-715-9583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 02/21/2025

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Directions to “ DANIELLE MARIE HERRERA ” Practice Location

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