Individual
CHAD MICHAEL HERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
117 BLOSSOM CENTRE BLVD, WILLARD, OH 44890-9317
(567) 560-3586
Mailing address
PO BOX 502, BLOOMVILLE, OH 44818-0502
(419) 681-2845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171312
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/17/2019
Last updated
08/20/2019
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