Individual
HEATHER HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 HOOVER CT, MOUNT WASHINGTON, KY 40047-8019
(270) 351-9444
Mailing address
167 HOOVER CT, MOUNT WASHINGTON, KY 40047-8019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0948
KY
101YM0800X
Mental Health Counselor
Primary
0928
KY
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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