Individual
LAUREN HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 763-4760
Mailing address
PO BOX 265, HIGHLAND, CA 92346-0265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC6012
CA
101YP2500X
Professional Counselor
APCC6012
CA
101YP2500X
Professional Counselor
Primary
LPCC13449
CA
Other
Enumeration date
03/12/2019
Last updated
04/03/2024
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