Individual
KYERRA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA MHP
Contact information
Practice address
1401 WASHINGTON AVE, CAIRO, IL 62914-1810
(618) 734-2664
(618) 734-1999
Mailing address
1401 WASHINGTON AVE, CAIRO, IL 62914-1810
(618) 734-2664
(618) 734-1999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
IL
1041C0700X
Clinical Social Worker
149031998
IL
Other
Enumeration date
07/31/2018
Last updated
07/15/2026
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