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Individual

DR. BRANDEN HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD.M.A., LPC, LMFTA

Contact information

Practice address
14 PROFESSIONAL PKWY, RIDGELAND, MS 39157-4190
(601) 780-7400
(877) 994-5569
Mailing address
837 LAKE COUNTY LN, MADISON, MS 39110-9544
(501) 270-9326
(877) 994-5569

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1821
MS
106H00000X
Marriage & Family Therapist
T10467A
MS

Other

Enumeration date
11/20/2013
Last updated
06/08/2023
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