Individual
MRS. AMANDA LYNN HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 REGENCY CT STE 207, TOLEDO, OH 43623-3081
(419) 262-1690
Mailing address
PO BOX 13, MAUMEE, OH 43537-0013
(419) 262-1690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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