Patsy Herndon

NPI #1619567104 in Port Wentworth, Georgia

Provider Information

NPI Number: 1619567104
Entity Type: Individual
Name: Patsy Herndon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jan 19, 2021
Last Updated: Jan 19, 2021

Practice Location

Address: 63 OLD MILL RD
City: Port Wentworth
State: Georgia
ZIP Code: 31407-6003
Phone: (313) 410-9692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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