Marlise Herron
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1508094574
StatusActive
Last updated in NPPESJun 29, 2009
Details
- NPI
- 1508094574
- Entity type
- Individual (NPI-1)
- Name
- Marlise Herron
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2009
- Last updated
- Jun 29, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
8729 S Western AveLos Angeles, CA 90047-3327
Phone 323-750-9510
Mailing address
8729 S Western AveLos Angeles, CA 90047-3327
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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