Individual provider · Type 1 NPI

Whitley Herndon

Professional Counselor · Colorado Springs, CO

NPI number 1114639903 Active

Practice location

7353 Sisters Grv
Colorado Springs, CO 80923-2615

Mailing address

PO Box 15555
Colorado Springs, CO 80935-5555

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XACD.0002162 (CO)
Professional Counselor Primary 101YP2500XLPC.0018825 (CO)
Addiction (Substance Use Disorder) Counselor 101YA0400XACD.0002162

Professional Counselor: Definition to come...

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About NPI 1114639903

Whitley Herndon's National Provider Identifier is 1114639903, issued on Dec 23, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Colorado Springs, CO. The record was last updated on Dec 23, 2022.