Individual
LARICC HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 E 45TH ST STE 320, CLEVELAND, OH 44127-1091
(216) 417-1115
Mailing address
3100 E 45TH ST STE 320, CLEVELAND, OH 44127-1091
(216) 417-1115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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