JIMMIE HERRON

LAKE ELSINORE, CA
NPI1104377308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C038500816)
Enumeration Date2016-10-23
Last Update Date2016-10-23
Business Address
-- JIMMIE HERRON cadc-cas
29452 ROCK POINT DR
LAKE ELSINORE, CA 92530-7272
Phone number: 323-315-2742
Mailing Address
-- JIMMIE HERRON cadc-cas
29452 ROCK POINT DR
LAKE ELSINORE, CA 92530-7272
Phone number: 323-315-2742
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