Individual provider · Type 1 NPI

Elizabeth Marie Herndon

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1205333085 Active

Practice location

9500 Malech Rd
San Jose, CA 95138

Call (408) 281-6593 Map

Fax (408) 463-9005

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205333085

Elizabeth Marie Herndon's National Provider Identifier is 1205333085, issued on Apr 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Apr 9, 2018.