Herndon, Justin

Herndon, Justin is an sole proprietor health care provider with primary practice located at 6400 Southcenter Blvd , Tukwila WA 98188-2547. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Herndon, Justin can be contacted via phone (206) 901-2000.

Contact Information

Primary practice address
6400 Southcenter Blvd Tukwila WA 98188-2547
Phone: (206) 901-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1922755115
LBN Legal business name Herndon, Justin
Credentials LSWAIC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2022
Last updated Apr 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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