Individual
MR. DOUGLAS WAYNE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
950 MEADOW DR, SUITE A, MOUNT GILEAD, OH 43338-1055
(419) 947-4560
(419) 947-2956
Mailing address
400 W MAIN ST, CARDINGTON, OH 43315-1015
(419) 864-2940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C-00004768
OH
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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