National Provider Identifier

Edward Deherrera, SUDPT

Edward Deherrera, SUDPT is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Spokane, WA and a listed phone number of (509) 532-8855.

NPI 1053053934Spokane, WAAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated April 11, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1053053934
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
April 11, 2022
Last Updated
April 11, 2022

Practice Location

  • 140 S Arthur Street, Suite 400
  • Suite 400
  • Spokane, WA 99202-9920

Phone: (509) 532-8855

Mailing Address

  • 140 S Arthur St Ste 400
  • Spokane, WA 99202-2220

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Biography

Public provider records identify Edward DeHerrera as a Spokane, Washington-based behavioral health provider with an SUDPT credential. I could not find a reliable public health-system, faculty, training, research, leadership, or board-certification profile to support additional background details.

Full Record
NPI
1053053934
Entity Type
Individual
Last Name
Deherrera
First Name
Edward
Credential
SUDPT
Provider Other Last Name
Deherrera
Provider Other First Name
Eddy
Provider Other Last Name Type Code
5
Mailing Street Address
140 S Arthur St Ste 400
Mailing City
Spokane
Mailing State
WA
Mailing ZIP Code
99202-2220
Mailing Country
US
Mailing Phone
(509) 532-8855
Mailing Fax
(509) 532-8844
Practice Street Address
140 S Arthur Street, Suite 400
Practice Address Line 2
Suite 400
Practice City
Spokane
Practice State
WA
Practice ZIP Code
99202-9920
Practice Country
US
Practice Phone
(509) 532-8855
Practice Fax
(509) 532-8844
Enumeration Date
April 11, 2022
Last Updated
April 11, 2022
Sex
Male
Sole Proprietor
No
Certification Date
April 11, 2022
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
CO61261876 (WA, Insurance Billing)