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Mr. Michael Douglas Herndon, MAMFCLPC
Professional Counselor in Fort Worth, Texas
NPI 1588758619

Michael Douglas Herndon is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Michael Douglas Herndon practices in Fort Worth, TX and has the professional credentials of MAMFCLPC. The NPI Number for Michael Douglas Herndon is 1588758619 and holds a License No. 18550 (Texas).

The current practice location address for Michael Douglas Herndon is 1424 Summit Ave, Fort Worth, TX and can be reached out via phone at 817-335-4041 and via fax at 817-332-3203.

Location: 1424 Summit Ave, Fort Worth, TX, 76102-5912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588758619
Provider Name
Michael Douglas Herndon
Credential
MAMFCLPC
Provider Entity Type
Individual
Gender
Male
Address
1424 Summit Ave, Fort Worth, TX, 76102-5912
Phone Number
817-335-4041
Fax Number
817-332-3203
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
277782 01 TX AMERIGROUP
institution
Provider Business Practice Location Address Details
Address
1424 Summit Ave
City
Fort Worth
State
Texas
Zip
76102-5912
Phone Number
817-335-4041
Fax Number
817-332-3203
person
Provider Business Mailing Address Details
Address
1424 Summit Ave
City
Fort Worth
State
Texas
Zip
76102-5912
Phone Number
817-335-4041
Fax Number
817-332-3203
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
18550 (Texas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
18550 (Texas)
Definition
Definition to come...
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