Organization
HERNDON CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LYNN GONZALES LCSW (OWNER/CLINICAL DIRECTOR)
(505) 382-1578
Entity
Organization
Contact information
Practice address
3736 EUBANK BLVD NE, SUITE B-1, ALBUQUERQUE, NM 87111-3579
(505) 469-0779
(888) 506-2110
Mailing address
3736 EUBANK BLVD NE STE B1, ALBUQUERQUE, NM 87111-3583
(505) 382-1578
(888) 506-2110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0163911
NM
101YP2500X
Professional Counselor
Primary
0168461
NM
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/04/2014
Last updated
09/06/2023
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