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Individual

MRS. DONNA JEAN HENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS LPC

Contact information

Practice address
2601 ADMIRAL DR, LEAGUE CITY, TX 77573-4469
(832) 816-4441
(281) 476-6424
Mailing address
2601 ADMIRAL DR, LEAGUE CITY, TX 77573-4469
(832) 816-4441
(281) 476-6424

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
13564
TX
101YM0800X
Mental Health Counselor
Primary
13564
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121956003
TX
01
229464
VALUE OPTIONS
TX
01
284189000
MAGELLAN HEALTH SERVICES
TX
01
3123616
AETNA
TX
Enumeration date
10/10/2006
Last updated
03/15/2022
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