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Individual
MRS. SUSAN CARROLL HENDERSON
Active
Individual
MRS. SUSAN CARROLL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002960
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11526313
CAQH
VA
05
—
5410282
—
VA
05
—
5410657
—
VA
Enumeration date
04/19/2006
Last updated
07/13/2026
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