Individual
MRS. MARY ANGELINE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC, EMMHS
Contact information
Practice address
399 E 10TH AVE, EUGENE, OR 97401-3380
(541) 858-2004
(541) 868-2003
Mailing address
399 E 10TH AVE, EUGENE, OR 97401-3380
(541) 858-2004
(541) 868-2003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60376739
WA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4034
OR
Other
Enumeration date
07/09/2010
Last updated
05/05/2022
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