Individual
MS. MARYJANE A HENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT, LADC, NCC
Contact information
Practice address
6875 W CHARLESTON BLVD, SUITE A, LAS VEGAS, NV 89117-1671
(702) 339-1165
(702) 685-0549
Mailing address
9101 W SAHARA AVE, 105G27, LAS VEGAS, NV 89117-5772
(702) 339-1165
(702) 685-0543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1207
NV
106H00000X
Marriage & Family Therapist
Primary
01091
NV
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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