Individual
LAUREN N HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 N UNION AVE, SHAWNEE, OK 74801-7064
(405) 275-1844
Mailing address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 275-7100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1381518
OK
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
04/22/2021
Last updated
06/20/2024
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