Individual
MRS. BEVERLY JANE HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
207 OVERLOOK DR, DALLAS, GA 30157-7487
(559) 457-8300
Mailing address
2655 DALLAS HWY SW STE 310, MARIETTA, GA 30064-7518
(559) 457-8300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001609
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/07/2006
Last updated
03/03/2025
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