Nicole Herndon is a Peer Specialist based in Kent, OH. Nicole Herndon practices in Canton, OH. The NPI Number for Nicole Herndon is 1114569506 and holds a License No. (Ohio).
The current practice location address for Nicole Herndon is 1114 Gonder Ave Se, Canton, OH and can be reached out via phone at 330-430-2801.
Location: 1114 Gonder Ave Se, Canton, OH, 44240-8100
Provider Profile Details
NPI Number
1114569506
Provider Name
Nicole Herndon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1114 Gonder Ave Se, Canton, OH, 44240-8100
Phone Number
330-430-2801
Fax Number
Provider Enumeration Date
10/17/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1114 Gonder Ave Se
City
State
Zip
44707-3300
Phone Number
330-430-2801
Fax Number
Provider Business Mailing Address Details
Address
1114 Gonder Ave Se
City
State
Zip
44707-3300
Phone Number
330-430-2801
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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