Individual
MARK ALAN HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2415 W CATALPA ST, SPRINGFIELD, MO 65807-1123
(417) 893-7770
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5214
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022007015
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496552001
—
MO
Enumeration date
10/08/2010
Last updated
03/03/2026
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