Individual
VALERIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6400 GISHOLT DR, STE 209, MONONA, WI 53713-4835
(414) 202-9146
Mailing address
6400 GISHOLT DR, STE 209, MONONA, WI 53713-4835
(414) 202-9146
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
3167-57
WI
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
10/31/2011
Last updated
01/21/2016
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