Individual
MS. NATALIE MICHELLE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 327-4796
Mailing address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 327-4796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T-0129531
NM
101YP2500X
Professional Counselor
Primary
CCMH0205541
NM
Other
Enumeration date
04/26/2010
Last updated
01/27/2025
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