Individual provider · Type 1 NPI

Jimmie Herron, CADC-CAS

Addiction (Substance Use Disorder) Counselor · Lake Elsinore, CA

NPI number 1104377308 Active

Practice location

29452 Rock Point Dr
Lake Elsinore, CA 92530-7272

Call (323) 315-2742 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC038500816 (CA)

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

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About NPI 1104377308

Jimmie Herron, CADC-CAS's National Provider Identifier is 1104377308, issued on Oct 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Elsinore, CA. The record was last updated on Oct 23, 2016.