Individual
DEMETRA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 W HOWZE BEACH RD, SLIDELL, LA 70458-8501
(985) 445-1800
Mailing address
132 W HOWZE BEACH RD, SLIDELL, LA 70458-8501
(985) 445-1800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
10/20/2022
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