Individual
MS. TERESA D HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPEI
Contact information
Practice address
3117 POLK ROAD 44, MENA, AR 71953-3891
(479) 234-1808
Mailing address
3117 POLK ROAD 44, MENA, AR 71953-3891
(479) 234-1808
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
85-20EI
AR
Other
Enumeration date
07/08/2009
Last updated
11/12/2018
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