Individual
MS. DONIA LEE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,CMT
Contact information
Practice address
3078 W 134TH PL, BROOMFIELD, CO 80020
(720) 260-3961
Mailing address
3078 W 134TH PL, BROOMFIELD, CO 80020-5205
(720) 260-3961
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0012618
CO
225700000X
Massage Therapist
14307900
CO
Other
Enumeration date
09/08/2008
Last updated
05/17/2018
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