Justin Herndon, LSWAIC

NPI #1922755115 in Tukwila, Washington

Provider Information

NPI Number: 1922755115
Entity Type: Individual
Name: Justin Herndon, LSWAIC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LSWAIC
Enumeration Date: Mar 7, 2022
Last Updated: Apr 24, 2023

Practice Location

Address: 6400 SOUTHCENTER BLVD
City: Tukwila
State: Washington
ZIP Code: 98188-2547
Phone: (206) 901-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor	101Y00000X	Primary

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