Individual
JENNIFER A. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MFT-I, CPC-I
Contact information
Practice address
570 W. CHEYENNE AVE, SUITE #10, LAS VEGAS, NV 89031
(702) 633-5096
(702) 633-7028
Mailing address
4368 DUCK HARBOR AVE, NORTH LAS VEGAS, NV 89031-4201
(702) 525-7864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MI1171
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
NV
Enumeration date
02/16/2011
Last updated
03/11/2020
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