Individual
ANGELA E HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CPSS
Contact information
Practice address
6591 BROOKSHIRE ST, FAYETTEVILLE, NC 28314-5115
(910) 490-8309
Mailing address
6591 BROOKSHIRE ST, FAYETTEVILLE, NC 28314-5115
(910) 490-8309
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
175T00000X
Peer Specialist
M2024-12866-01
NC
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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