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Individual
TIMOTHY CARL HERRON
Active
Individual
TIMOTHY CARL HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW/CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.178190
OH
104100000X
Social Worker
Primary
S.2614430
OH
171M00000X
Case Manager/Care Coordinator
174287
OH
Other
Enumeration date
09/21/2020
Last updated
09/08/2026
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