Individual
MR. JAMES W HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
4346 STARKEY RD, SUITE 1, ROANOKE, VA 24018-0605
(540) 772-8043
(540) 772-8242
Mailing address
3470 BRADSHAW RD, SALEM, VA 24153-8712
(540) 384-6308
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002200
VA
106H00000X
Marriage & Family Therapist
0717000037
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005400937
—
VA
01
—
240173
ANTHEM BCBS
VA
Enumeration date
08/10/2006
Last updated
09/21/2009
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