Individual
MRS. MARIETTA HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A,, LGPC
Contact information
Practice address
4900 RHODE ISLAND AVE STE 101, HYATTSVILLE, MD 20781-2040
(301) 699-3660
Mailing address
4990 RHODE ISLAND AVE, HYATTSVILLE, HYATTSVILLE, MD 20781-2027
(301) 699-3660
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP6887
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGP6887
LICENSE GRADUATE PROFESSIONAL COUNSELOR
MD
Enumeration date
08/24/2016
Last updated
08/24/2016
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