Individual
JAMIE R HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2940 LIMITED LN NW, OLYMPIA, WA 98502-6503
(360) 586-0967
Mailing address
PO BOX 12165, OLYMPIA, WA 98508-2165
(360) 586-0967
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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