Individual
AMANDA HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-5750
Mailing address
6135 BURLINGTON DR, ROANOKE, VA 24019-4005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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