Individual
BRIDGETTE D HERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, LICDC, MSW
Contact information
Practice address
7133 OLD TROY PIKE, HUBER HEIGHTS, OH 45424-2658
(937) 301-5549
(937) 723-9095
Mailing address
5818 WILMINGTON PIKE, PMB 207, CENTERVILLE, OH 45459-7004
(937) 301-5549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.141066
OH
1041C0700X
Clinical Social Worker
Primary
I.1600705
—
Other
Enumeration date
08/29/2012
Last updated
02/12/2022
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