Individual
SHANNON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC CANDIDATE
Contact information
Practice address
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3918
(405) 858-1700
Mailing address
6116 N MERIDIAN AVE APT 602, OKLAHOMA CITY, OK 73112-1277
(918) 695-7853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
02/19/2014
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