Individual
TIANA FAETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 E NORTHWEST HWY STE 201, PALATINE, IL 60067-1700
(847) 908-8700
Mailing address
733 E INDEPENDENCE DR APT #5, PALATINE, IL 60074
(847) 899-4898
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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