Individual provider · Type 1 NPI
Mark Herendeen
Mental Health Counselor · Melbourne, FL
NPI number
1912257353
Active
Practice location
1309 S Babcock St, 156
Melbourne, FL 32901-3068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1912257353
Mark Herendeen's National Provider Identifier is 1912257353, issued on Sep 13, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Sep 13, 2012.