Individual
ELYSABETH L HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 STANFORD RD APT 207, GRAND FORKS, ND 58203-2164
(315) 836-7228
Mailing address
1110 STANFORD RD APT 207, GRAND FORKS, ND 58203-2164
(315) 836-7228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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