Individual
PROF. CHESLY SUZANNE HERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., L.C.D.C.
Contact information
Practice address
308 CAROL LN, MIDLAND, TX 79705-3027
(432) 288-2450
(432) 685-6413
Mailing address
308 CAROL LN, MIDLAND, TX 79705-3027
(432) 288-2450
(432) 685-6413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62679
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
10219
TX
Other
Enumeration date
01/31/2011
Last updated
03/29/2011
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