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Organization
HENDERSON BEHAVIORAL HEALTH, LLC
Active
Organization
HENDERSON BEHAVIORAL HEALTH, LLC
Active
Other names
Henderson Behavioral Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M HENDERSON MS (OWNER)
(541) 821-9559
Entity
Organization
Contact information
Practice address
328 S CENTRAL AVE, MEDFORD, OR 97501-7274
(541) 821-9559
(541) 702-1236
Mailing address
PO BOX 8097, MEDFORD, OR 97501-0997
(541) 821-9559
(541) 702-1236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2672
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962675249
—
OR
Enumeration date
10/24/2017
Last updated
10/24/2017
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