Individual
MRS. JULIA MAE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, BC-TMH
Contact information
Practice address
5740 GETWELL RD STE D, SOUTHAVEN, MS 38672-6346
(601) 790-0583
Mailing address
7411 ASHLYN DR, OLIVE BRANCH, MS 38654-1346
(901) 870-2982
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3000
MS
Other
Enumeration date
06/19/2023
Last updated
07/14/2023
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