Individual
NANCY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(313) 307-0088
(313) 281-2235
Mailing address
24925 JEFFERSON AVE, APT 9, SAINT CLAIR SHORES, MI 48080-2871
(313) 721-6402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017909
MI
Other
Enumeration date
07/05/2016
Last updated
12/08/2021
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