Individual
AMANDA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
(407) 930-4348
Mailing address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
(407) 930-4348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18394
FL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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