Individual
CASEY HENNEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
11553 FM 1726, GOLIAD, TX 77963-3810
(361) 722-0704
Mailing address
11553 FM 1726, GOLIAD, TX 77963-3810
(361) 645-0245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77168
TX
Other
Enumeration date
04/01/2019
Last updated
11/01/2024
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