Mark Allen Heriford, LPC, CADC

NPI #1992596498 in Atlanta, Illinois

Provider Information

NPI Number: 1992596498
Entity Type: Individual
Name: Mark Allen Heriford, LPC, CADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC, CADC
Enumeration Date: May 14, 2025
Last Updated: May 14, 2025

Practice Location

Address: 121 N LAKE DR
City: Atlanta
State: Illinois
ZIP Code: 61723-8819
Phone: (913) 645-3587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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