Organization
LDH AMBASSADDORS FOR LIFE FAITH BASE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA DIANE HENDERSON NCCA, LCPC (FOUNDER & CHIEF EXECUTIVE OFFICER)
(440) 728-0287
Entity
Organization
Contact information
Practice address
33896 SUNFLOWER LANE, NORTH RIDGEVILLE, OH 44039
(440) 728-0287
Mailing address
33896 SUNFLOWER LANE, NORTH RIDGEVILLE, OH 44039
(440) 728-0287
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
12671
FL
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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