Individual
COURTNEY DEJUAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 EDMONDS RD BLDG D, REDWOOD CITY, CA 94062-3813
(650) 209-1100
Mailing address
240 EDMONDS RD BLDG D, REDWOOD CITY, CA 94062-3813
(650) 209-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
07/02/2025
Last updated
07/23/2025
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