person
Ms. Kimberly Evette Hearon
Addiction (Substance Use Disorder) Counselor in Portage, Indiana
NPI 1003537515

Kimberly Evette Hearon is an Addiction (Substance Use Disorder) Counselor based in Portage, IN and is specialized in Addiction (Substance Use Disorder). Kimberly Evette Hearon practices in Portage, IN. The NPI Number for Kimberly Evette Hearon is 1003537515 and holds a License No. 87000043A (Indiana).

The current practice location address for Kimberly Evette Hearon is 5971 Winchester Pl, Portage, IN and can be reached out via phone at 219-201-0716.

Location: 5971 Winchester Pl, Portage, IN, 46368-4915
person
Provider Profile Details
NPI Number
1003537515
Provider Name
Kimberly Evette Hearon
Credential
Provider Entity Type
Individual
Gender
Female
Address
5971 Winchester Pl, Portage, IN, 46368-4915
Phone Number
219-201-0716
Fax Number
Provider Enumeration Date
09/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5971 Winchester Pl
City
State
Zip
46368-4915
Phone Number
219-201-0716
Fax Number
person
Provider Business Mailing Address Details
Address
5971 Winchester Pl
City
State
Zip
46368-4915
Phone Number
219-201-0716
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
87000043A (Indiana)
Definition
Definition to come...
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