Mrs. MARY LOUISE HERNDON PORCH C.R.C., L.P.C.A ⚕️ North Carolina 1720400120

NPI	1720400120
Former Name	MARY LOUISE HERNDON
Entity Type	Individual
Gender	Female
Sole Proprietor ?	Yes
Primary Taxonomy	101YM0800X Counselor, Mental Health (Licence: NC A10480)
Enumeration Date	2014-01-20
Last Update Date	2014-01-20

Mrs. MARY LOUISE HERNDON PORCH C.R.C., L.P.C.A

3801 LAKE BOONE TRL SUITE 100

RALEIGH, NC 27607-2934

Phone number: 919-784-9182

Mrs. MARY LOUISE HERNDON PORCH C.R.C., L.P.C.A

3112 WILDER ST

RALEIGH, NC 27607-5228

Phone number: 336-686-4249