Provider / Organization | NPI | Date Certified |
---|---|---|
KAMIAN HERBST | 1700663028 | 2023-09-11 |
Kamian Herbst is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700663028. Registration indicates Kamian Herbst is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Kamian Herbst AAS |
Practice Office Address | 1205 W MAIN ST MARION, IL US |
Practice Office Telephone | 8556053560 |
Practice Office Fax | 6189932969 |
Mailing Address | 902 W MAIN ST WEST FRANKFORT, IL 628962210 US |
Business Telephone | 6189376483 |
Business Fax | 6189371440 |
Code | Practice | License No State |
---|---|---|
101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor |