Individual
DENA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 VILLA ST, MOUNTAIN VIEW, CA 94041
(636) 399-3375
Mailing address
16982 MANCHESTER RD UNIT 194, WILDWOOD, MO 63040-0150
(314) 680-0867
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2011013003
MO
101Y00000X
Counselor
—
—
Other
Enumeration date
05/05/2020
Last updated
06/04/2020
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