Individual
MR. HAROLD JORDAN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1075 CHECK ST, SUITE 101, WASILLA, AK 99654-8047
(907) 357-1629
(907) 357-1639
Mailing address
1075 CHECK ST, SUITE 101, WASILLA, AK 99654-8047
(907) 357-1629
(907) 357-1639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122
AK
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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