Individual
CAROLYN P HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2307 LAGO TRL, KILLEEN, TX 76543-2958
(667) 240-3944
Mailing address
2307 LAGO TRL, KILLEEN, TX 76543-2958
(667) 240-3944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12533
TX
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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