Individual
MS. DEVON DEYARMAN HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3736 EUBANK BLVD NE, SUITE B-1, ALBUQUERQUE, NM 87111-3579
(505) 280-5860
Mailing address
67 MADOLE RD, EDGEWOOD, NM 87015-9503
(505) 469-0779
(888) 506-2110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0163911
NM
101YP2500X
Professional Counselor
Primary
0168461
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18359302
—
NM
Enumeration date
09/20/2011
Last updated
09/25/2014
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