Individual
MELANIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1284 JUNGERMANN RD, SAINT PETERS, MO 63376-6966
(903) 850-8924
(636) 498-0050
Mailing address
461 PINE BEND DR, WILDWOOD, MO 63005-4937
(903) 850-8924
(636) 498-0050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018041359
MO
Other
Enumeration date
03/04/2009
Last updated
11/20/2018
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