Individual
CAROLYN J HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPCA
Contact information
Practice address
4039 RISELEY LN, CHARLOTTE, NC 28270-1558
(704) 564-4718
Mailing address
4039 RISELEY LN, CHARLOTTE, NC 28270-1558
(704) 564-4718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A10023
NC
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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