Individual
SHANNON BARBARA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 MARION ST, FOREST CITY, PA 18421-1225
(570) 921-3275
Mailing address
200 MARION ST, FOREST CITY, PA 18421-1225
(570) 921-3275
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC018546
PA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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