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1104377308
JIMMIE HERRON
LAKE ELSINORE, CA
NPI
1104377308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C038500816)
Enumeration Date
2016-10-23
Last Update Date
2016-10-23
Business Address
-- JIMMIE HERRON cadc-cas
29452 ROCK POINT DR
LAKE ELSINORE, CA 92530-7272
Phone number: 323-315-2742
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Mailing Address
-- JIMMIE HERRON cadc-cas
29452 ROCK POINT DR
LAKE ELSINORE, CA 92530-7272
Phone number: 323-315-2742
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