Individual
BANECA HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4171 RHAPSODY ST APT 5311, GRAND PRAIRIE, TX 75052-0236
(214) 498-2380
Mailing address
PO BOX 180291, ARLINGTON, TX 76096-0291
(214) 498-2380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70307
TX
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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