Individual
CHARISMA JAYNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, ATR
Contact information
Practice address
1245 HANCOCK ST STE 25, QUINCY, MA 02169-4365
(818) 335-5104
Mailing address
485 NANTASKET AVE UNIT C, HULL, MA 02045-2556
(818) 335-5104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8205
MA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/25/2010
Last updated
11/08/2013
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