Individual
JANIS W HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 HIGH ST, SOUTH GLASTONBURY, CT 06033-9998
(860) 659-0183
Mailing address
244 WOOD POND RD, GLASTONBURY, CT 06033-3704
(860) 633-6311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001137
CT
Other
Enumeration date
05/16/2007
Last updated
07/16/2007
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