Individual
MARY E HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1427 7TH AVE, HUNTINGTON, WV 25701-2905
(304) 525-7851
Mailing address
1020 EUCLID PL, HUNTINGTON, WV 25701-3536
(304) 525-7851
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1419
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV1419
LPC
WV
Enumeration date
12/11/2006
Last updated
07/08/2007
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