Individual
SCOTT HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43825 MICHIGAN AVE STE 1, CANTON, MI 48188-2551
(734) 397-0078
(734) 397-2892
Mailing address
3154 E COON LAKE RD, HOWELL, MI 48843-9537
(248) 602-6524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XYU992853784
—
MI
Enumeration date
05/19/2017
Last updated
05/19/2017
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