Individual
STEPHANIE HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
316 S. INDEPENDENCE STREET, HARRISONVILLE, MO 64701
(816) 380-4010
(816) 887-5703
Mailing address
316 S. INDEPENDENCE STREET, HARRISONVILLE, MO 64701
(816) 380-4010
(816) 887-5703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2019046847
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019046847
MISSOURI LICENSE
MO
Enumeration date
12/20/2019
Last updated
12/20/2019
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