MEDICARE: MS. FRANCES HUNTER HERRON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701003768	VA

General Provider Information

NPI Number	:	1477739977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FRANCES HUNTER HERRON

Provider Business Mailing Address
First Line	:	8700 OLD DOMINION DR
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-1211
Country	:	US
Telephone Number	:	703-734-8554
Fax Number	:	703-821-0508

Provider Business Practice Location Address
First Line	:	8700 OLD DOMINION DR
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-1211
Country	:	US
Telephone Number	:	703-734-8554
Fax Number	:	703-821-0508

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	01/14/2008

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