Individual
DAVID JORDAN HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 MAPLE ST STE 325, SPRINGFIELD, MA 01103-2215
(413) 737-9544
Mailing address
130 MAPLE ST STE 325, SPRINGFIELD, MA 01103-2215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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