Individual
MR. CHARLIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 HOSPITAL ROAD, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-3262
Mailing address
2400 HOSPITAL ROAD, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-3262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0038561
NY
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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