Individual
ASHLEY ALISE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6117 MARTIN LUTHER KING JR WAY, OAKLAND, CA 94609-1240
(510) 655-4896
Mailing address
6117 MARTIN LUTHER KING JR WAY, OAKLAND, CA 94609-1240
(510) 655-4896
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
01/09/2017
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