Individual
RENEE A HENDRIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0142971
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M1855
—
NM
05
—
M1955
—
NM
01
—
NM600109
VALUE OPTIONS
NM
Enumeration date
04/24/2007
Last updated
03/20/2014
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