Individual
MR. JOHN STEPHEN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 837-8022
Mailing address
663 COTTAGE ST NE, SALEM, OR 97301-2419
(503) 877-9809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10801
OK
101YP2500X
Professional Counselor
Primary
C3474
OR
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Enumeration date
03/16/2007
Last updated
09/06/2024
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