Individual
SHAROLYN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20055 SALLIE DR, PLAQUEMINE, LA 70764-5321
(225) 892-4564
Mailing address
20055 SALLIE DR, PLAQUEMINE, LA 70764-5321
(225) 892-4564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PLC9079
LA
101YP2500X
Professional Counselor
Primary
9079
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
LA
Enumeration date
10/23/2018
Last updated
07/24/2024
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