Bridgette D Herren, LISW, LICDC, MSW
Social Worker, Clinical in Huber Heights, OH. Individual provider (NPI-1).
NPI number1023367679
StatusActive
Last updated in NPPESFeb 12, 2022
Details
- NPI
- 1023367679
- Entity type
- Individual (NPI-1)
- Name
- Bridgette D Herren
- Credential
- LISW, LICDC, MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2012
- Certification date
- Feb 12, 2022
- Last updated
- Feb 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.1600705 | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | ICDC.141066 | OH |
Practice location
7133 Old Troy PikeHuber Heights, OH 45424-2658
Phone 937-301-5549 · Fax 937-723-9095
Mailing address
5818 Wilmington PikePmb 207
Centerville, OH 45459-7004
Phone 937-301-5549
Other practice locations
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