Individual
KRISTIAN HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-CADC
Contact information
Practice address
2410 RING RD STE 500, ELIZABETHTOWN, KY 42701-7991
(270) 982-1280
Mailing address
1820 N MILES ST APT G8, ELIZABETHTOWN, KY 42701-7950
(270) 234-3712
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
255408
KY
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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