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NPI Code Detail

MEDICARE: ERIN HERNER

MEDICARE:   ERIN  HERNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2022016625MO

General Provider Information

NPI Number : 1578285375
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN HERNER
Provider Business Mailing Address
First Line : 3724 HIGHLAND AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64109-2752
Country : US
Telephone Number : 816-875-5082
Fax Number :
Provider Business Practice Location Address
First Line : 800 E 101ST TER STE 350B
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-5322
Country : US
Telephone Number : 816-875-5082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2022
Last Update Date : 09/19/2022

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Directions to “ ERIN HERNER ” Practice Location

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