Individual
KRISTINE JOANN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4642 HAPPY HOLLOW ST SW, GRANDVILLE, MI 49418-9620
(616) 516-1570
Mailing address
4642 HAPPY HOLLOW ST SW, GRANDVILLE, MI 49418-9620
(616) 516-1570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401009912
MI
101YM0800X
Mental Health Counselor
6401009912
MI
101YP2500X
Professional Counselor
Primary
6401009912
MI
101YS0200X
School Counselor
6401009912
MI
Other
Enumeration date
01/29/2007
Last updated
01/15/2024
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