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Individual

PAMELA M HENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 935-8200
(731) 935-8327
Mailing address
1804 HIGHWAY 45 BYP, STE 604, JACKSON, TN 38305-4436
(731) 660-8755
(731) 660-8739

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1412
TN
101YP2500X
Professional Counselor
1412
TN

Other

Enumeration date
07/03/2006
Last updated
02/15/2008
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