Individual
SHAUNTE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 BLAINE ST NE, WASHINGTON, DC 20019-6665
(202) 398-6811
Mailing address
5332 HARAS PL, FORT WASHINGTON, MD 20744-3088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGPCOO572
DC
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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