Individual
JEFFERY B HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 HIGHWAY 431 STE 1, ROANOKE, AL 36274-7314
(706) 885-4553
Mailing address
950 HIGHWAY 431 STE 1, ROANOKE, AL 36274-7314
(706) 885-4553
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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