Individual
NEALETT HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC- CANDIDATE
Contact information
Practice address
2840 LINDA LN, DEL CITY, OK 73115-5012
(572) 241-3116
Mailing address
2840 LINDA LN, DEL CITY, OK 73115-5012
(572) 241-3116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
CASE MANAGEMENT
OK
Enumeration date
09/18/2013
Last updated
04/01/2026
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