Individual
MR. ELLIS H HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7015 MACZALI DR, MISSOURI CITY, TX 77489-3457
(281) 438-6678
Mailing address
7015 MACZALI DR, MISSOURI CITY, TX 77489-3457
(281) 438-6678
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63851
TX
101YM0800X
Mental Health Counselor
63851
TX
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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