Individual
MR. KOREY SOLOMON HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
4656 30TH ST, SAN DIEGO, CA 92116-3247
(619) 677-3046
Mailing address
6048 CAROL ST, SAN DIEGO, CA 92115-5426
(619) 850-5542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC 395
CA
101YP2500X
Professional Counselor
Primary
LPC 395
CA
Other
Enumeration date
11/21/2006
Last updated
11/22/2013
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