Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jimmie Herron, CADC-CAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104377308

Jimmie Herron, CADC-CAS is an Addiction (Substance Use Disorder) Counselor in Lake Elsinore, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

29452 Rock Point Dr
Lake Elsinore, CA 92530-7272
Phone: (323) 315-2742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence C038500816 (CA)

Record details

NPI number1104377308
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-CAS
Sole proprietorYes
NPI enumeratedOctober 23, 2016
Last updated in NPPESOctober 23, 2016

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