Individual
DR. DAVETTA A HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LMHC
Contact information
Practice address
4115 E LANCASTER AVE, FORT WORTH, TX 76103-3614
(817) 796-7370
Mailing address
1800 N MERIDIAN ST STE 505, INDIANAPOLIS, IN 46202-1433
(317) 464-3515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39003653A
IN
101YM0800X
Mental Health Counselor
Primary
91192
TX
Other
Enumeration date
12/02/2019
Last updated
03/22/2024
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