Individual
ANGELA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
64 NEW YORK AVE NE, WASHINGTON, DC 20002-3320
(202) 698-2431
(202) 698-2466
Mailing address
PO BOX 673, GREENBELT, MD 20768-0673
(301) 793-1512
(301) 793-1512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC50078799
DC
Other
Enumeration date
11/25/2009
Last updated
02/17/2010
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