Individual
ERIC J HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
3048 E BASELINE RD STE 108, MESA, AZ 85204-7287
(480) 710-6435
Mailing address
PO BOX 554, QUEEN CREEK, AZ 85142-1810
(480) 710-6435
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-10594
AZ
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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