NPI 1003163197

Michele L Herron, LCPCCADCMISAII

Practitioner Professional Counselor Springfield, IL

Practice location

Address: 408 S 5th St, Springfield, IL 62701-1855
Phone: (217) 528-1988
Fax: (217) 528-1989

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 180003292 (IL)

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Registry record

NPI: 1003163197
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2012
Record last updated: 26 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.