Individual
MS. KIRSTEN BOYE HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LPC
Contact information
Practice address
600 E MAIN ST STE C, RADFORD, VA 24141-1826
(540) 731-0838
(540) 731-3375
Mailing address
600 E MAIN ST STE C, RADFORD, VA 24141-1826
(540) 731-0838
(540) 731-3375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002409
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086759
SENTARA
—
01
—
281760
BCBS
—
01
—
517026
VALUE OPTIONS
—
05
—
5401551
—
VA
Enumeration date
09/22/2006
Last updated
12/07/2012
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