Michele L Herron
Professional Counselor
408 S 5th St
Springfield
, Illinois 62701-1855
Michele L Herron
Professional Counselor
408 S 5th St
Springfield
, Illinois 62701-1855
(217) 528-1989
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Michele L Herron
- 408 S 5th St
- Springfield, IL
- Zip : 62701-1855
- Fax : (217) 528-1989
- Phone : (217) 528-1988
Second Address
- Michele L Herron
- 408 S 5th St
- Springfield, IL
- Zip : 62701-1855
- Fax : (217) 528-1989
- Phone : (217) 528-1988
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 180003292 | IL |
National Provider Identifier
| NPI | 1003163197 |
|---|---|
| Provider Name | Michele L Herron |
| First Address | Springfield, IL 62701-1855 |
| Second Address | Springfield, IL 62701-1855 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2012 |
| Last Update Date | 26/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 16456 | CADC / MISA II (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.