Individual
CASEY HENDERSHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4633 SUNDERLAND RD, JACKSONVILLE, FL 32210-4237
(423) 943-6187
Mailing address
4633 SUNDERLAND RD, JACKSONVILLE, FL 32210-4237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12865
FL
Other
Enumeration date
09/03/2018
Last updated
04/19/2024
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