Individual
JONATHAN KEEGAN HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 300-6353
Mailing address
1410 ALBION ST APT 16, DENVER, CO 80220-2375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2015
Last updated
06/16/2016
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