Individual
KENNETH RAY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13115 WHITTINGTON DR APT 9310, HOUSTON, TX 77077-2690
(804) 335-7549
Mailing address
13115 WHITTINGTON DR APT 9310, HOUSTON, TX 77077-2690
(804) 335-7549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
TX
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
261QM0850X
Adult Mental Health Clinic/Center
—
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
TX
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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