Search › California › 101YA0400X
Jimmie Herron, CADC-CAS
NPI 1104377308 · on the registry since 2016 · sole proprietor
Practice
- Address
- 29452 Rock Point Dr
Lake Elsinore, CA 92530 - Phone
- (323) 315-2742
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California