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Individual

MR. CHARLES TODD HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.S.

Contact information

Practice address
106 STEWART AVE, GREENVILLE, AL 36037-1416
(334) 414-1408
(334) 382-7202
Mailing address
106 STEWART AVE, GREENVILLE, AL 36037-1416
(334) 414-1408
(334) 382-7202

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2252A
AL

Other

Enumeration date
06/26/2014
Last updated
06/26/2014
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