| Doctor Name: | JASON HERR |
| NPI Number: | 1013165075 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC, CP |
| License Number: | 39002060A |
| Business Practice Address: | 1409 E 84th Pl Merrillville, IN - 464106451 |
| Business Phone Number: | 2197942000 |
| Business Fax Number: | 2197942010 |
| Mailing Address: | 8400 Louisiana St, MERRILLVILLE |
| State: | IN |
| Postal Code: | 464106385 |
| Phone Number: | 2197571928 |
| Fax Number: | 2197571950 |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 39002060A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |