Gerrod Herndon, SUDRC #15464
NPI #1689368615 in San Rafael, California
Provider Information
- NPI Number
- 1689368615
- Entity Type
- Individual
- Name
- Gerrod Herndon, SUDRC #15464
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Credential
- SUDRC #15464
- Enumeration Date
- Jun 5, 2023
- Last Updated
- Jun 5, 2023
Practice Location
- Address
- 603 D ST
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-3719
- Phone
- (707) 331-5575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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