Individual
TAMMY E HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10000 MIDATLANTIC DR STE 101E, MOUNT LAUREL, NJ 08054-1504
(793) 982-2888
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00957900
NJ
Other
Enumeration date
09/24/2019
Last updated
09/18/2024
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