Individual provider · Type 1 NPI
Mark Allen Heriford, LPC, CADC
Counselor · Atlanta, IL
NPI number
1992596498
Active
Practice location
121 N Lake Dr
Atlanta, IL 61723-8819
Mailing address
702 W Chestnut St
Bloomington, IL 61701-2814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 178.021648 (IL) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1992596498
Mark Allen Heriford, LPC, CADC's National Provider Identifier is 1992596498, issued on May 14, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Atlanta, IL. The record was last updated on May 14, 2025.