Herndon, Marietta
Herndon, Marietta is an sole proprietor health care provider with primary practice located at 4900 Rhode Island Ave Ste 101 , Hyattsville MD 20781-2040. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Herndon, Marietta can be contacted via phone (301) 699-3660.Contact Information
Primary practice address
4900 Rhode Island Ave Ste 101
Hyattsville MD 20781-2040
Phone: (301) 699-3660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LGP6887 | Maryland |
Profile Details
| NPI number | 1568917193 |
|---|---|
| LBN Legal business name | Herndon, Marietta |
| Credentials | M.A,, LGPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2016 |
| Last updated | Aug 24th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568917193 | NPPES |
| Maryland | Other | LGP6887 | LICENSE GRADUATE PROFESSIONAL COUNSELOR |
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