Herron, Jimmie

Herron, Jimmie is an sole proprietor health care provider with primary practice located at 29452 Rock Point Dr , Lake Elsinore CA 92530-7272. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Herron, Jimmie can be contacted via phone (323) 315-2742.

Contact Information

Primary practice address
29452 Rock Point Dr Lake Elsinore CA 92530-7272
Phone: (323) 315-2742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C038500816 California

Profile Details

NPI number 1104377308
LBN Legal business name Herron, Jimmie
Credentials CADC-CAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2016
Last updated Oct 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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