Individual
MADISON M HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
(208) 969-8380
Mailing address
4909 N ELSINORE AVE APT D305, MERIDIAN, ID 83646-6926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9261851
ID
104100000X
Social Worker
Primary
LMSW-9261851
ID
104100000X
Social Worker
LSW-45126
ID
Other
Enumeration date
05/28/2024
Last updated
10/10/2025
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