Individual
BROOKE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 W DAKIN ST APT 1W, CHICAGO, IL 60613-2991
(916) 765-6942
Mailing address
1024 W DAKIN ST APT 1W, CHICAGO, IL 60613-2991
(916) 765-6942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/28/2021
Last updated
04/20/2023
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