Individual
BRANDY NICHOLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLPC
Contact information
Practice address
2705 MULLANPHY LN, FLORISSANT, MO 63031-3727
(314) 830-6211
Mailing address
1569 NORLAKES DR APT C, SAINT LOUIS, MO 63136-1849
(314) 683-5730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021040533
MO
101YP2500X
Professional Counselor
—
MO
Other
Enumeration date
10/25/2021
Last updated
03/06/2025
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