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General NPI Number Information
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NPI Number | 1720412182
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Entity Type | Organization
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Legal Business Name | HERRON COUNSELING, INC
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 95 MAPLE AVE SUITE B
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-1550
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Country | US
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Telephone | 540-484-8484
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Fax | 540-484-8808
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Provider Business Mailing Address
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Address Line | 95 MAPLE AVE SUITE B
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-1550
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Country | US
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Telephone | 540-484-8484
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Fax | 540-484-8808
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. SONIA JACQUELINE HERRON
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Credential | LCSW
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Telephone | 540-484-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0904007570
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License Number State | VA
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