Individual
SIMONE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 COHANSEY ST, BRIDGETON, NJ 08302-1922
(856) 497-6650
Mailing address
26 KING DR, BRIDGETON, NJ 08302-4416
(609) 501-5418
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00771600
NJ
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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