Individual provider · Type 1 NPI
Jason Phillip Herron
Mental Health Counselor · Oklahoma City, OK
NPI number
1104732122
Active
Practice location
13925 Technology Dr Ste A
Oklahoma City, OK 73134-1053
Mailing address
2428 NW 120th St
Oklahoma City, OK 73120-7403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPCCANDIDATE12452 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1104732122
Jason Phillip Herron's National Provider Identifier is 1104732122, issued on Aug 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 20, 2026.