Individual
JASON RYAN HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
942 SEARCY WAY, BOWLING GREEN, KY 42103
(270) 781-8112
(270) 781-8114
Mailing address
942 SEARCY WAY, BOWLING GREEN, KY 42103-7168
(270) 781-8112
(270) 781-8114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
3361
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
02/27/2007
Last updated
07/27/2018
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