Individual
STACEY HERDEGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, NCC
Contact information
Practice address
408 N SUMMERLIN AVE, ORLANDO, FL 32803-5338
(941) 323-7007
Mailing address
408 N SUMMERLIN AVE, ORLANDO, FL 32803-5338
(941) 323-7007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MT4854
FL
106H00000X
Marriage & Family Therapist
Primary
MT4854
FL
Other
Enumeration date
04/12/2022
Last updated
09/24/2024
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