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Jimmy Hearon SR.
Addiction (Substance Use Disorder) Counselor in Sacramento, California
NPI 1053861393

Jimmy Hearon SR. is an Addiction (Substance Use Disorder) Counselor based in Sacramento, CA and is specialized in Addiction (Substance Use Disorder). Jimmy Hearon SR. practices in Sacramento, CA. The NPI Number for Jimmy Hearon SR. is 1053861393 and holds a License No. R1237300816 (California).

The current practice location address for Jimmy Hearon SR. is 7240 E Southgate Dr Ste G, Sacramento, CA and can be reached out via phone at 916-391-4293.

Location: 7240 E Southgate Dr Ste G, Sacramento, CA, 95823-2627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053861393
Provider Name
Jimmy Hearon SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
7240 E Southgate Dr Ste G, Sacramento, CA, 95823-2627
Phone Number
916-391-4293
Fax Number
Provider Enumeration Date
10/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7240 E Southgate Dr Ste G
City
Sacramento
State
California
Zip
95823-2627
Phone Number
916-391-4293
Fax Number
person
Provider Business Mailing Address Details
Address
7240 E Southgate Dr Ste G
City
Sacramento
State
California
Zip
95823-2627
Phone Number
916-391-4293
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
R1237300816 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1237300816 (California)
Definition
Definition to come...
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