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Individual

DR. JANESSA M HENNINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LPC, RPT-S

Contact information

Practice address
157 LEIMAMO ST, HILO, HI 96720-3742
(719) 580-8757
Mailing address
157 LEIMAMO ST, HILO, HI 96720-3742
(719) 580-8757

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0013396
CO

Other

Enumeration date
11/04/2022
Last updated
11/04/2022
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