Individual
MRS. AMANDA J HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC, LADC
Contact information
Practice address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 385-3330
Mailing address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 385-3330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01421
NV
101YM0800X
Mental Health Counselor
PC5752
NV
101YP2500X
Professional Counselor
Primary
CP5752
NV
Other
Enumeration date
06/26/2013
Last updated
09/27/2024
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