Individual
JILLIAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
19445 TWIN LAKES RD, FRENCHTOWN, MT 59834-9711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
20063
MT
Other
Enumeration date
12/07/2016
Last updated
05/20/2024
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