Individual
DR. CARLTON JERMAINE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5328 HUNT MASTER DR APT A, MIDLOTHIAN, VA 23112-2765
(804) 322-7185
Mailing address
PO BOX 42034, FREDERICKSBURG, VA 22404-2034
(804) 322-7185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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