Individual
LATRESE HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 COUNSELORS ROW SUITE 20, INDIANAPOLIS, IN 46240
(317) 225-6577
Mailing address
153 N 19TH ST, CHESTERTON, IN 46304-2073
(219) 402-2119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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