Individual
DIAMOND HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
3816 N ELM ST STE C, GREENSBORO, NC 27455-2776
(336) 545-5995
Mailing address
440 MAGNOLIA BRANCH DR APT 10, WINSTON SALEM, NC 27104-4409
(404) 513-2306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14776
NC
Other
Enumeration date
04/25/2019
Last updated
09/21/2020
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