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PATSY HERNDON

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1619567104

Individual Registrant:
 PATSY  HERNDON 
Gender: F
Sole Proprietor

Location and contact information for practice:
63 OLD MILL RD  PORT WENTWORTH, GA 31407-6003 US
Tel: 313-410-9692  Fax: --

Contact information for business:
63 OLD MILL RD  PORT WENTWORTH, GA 31407-6003 US
Tel: 313-410-9692  Fax: --

Registration Information:
NPI: 1619567104
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC009234

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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