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Individual
KENDRA HENRY
Active
Individual
KENDRA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303799
MN
101YP2500X
Professional Counselor
1264
MN
101YP2500X
Professional Counselor
Primary
CC01264
MN
Other
Enumeration date
02/17/2014
Last updated
10/31/2024
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