Individual
MR. ETHAN SHANE HENNESEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
406 EDGEWOOD DR, RICHMOND, TX 77406-4010
(281) 726-3027
Mailing address
406 EDGEWOOD DR, RICHMOND, TX 77406-4010
(281) 726-3027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13364
TX
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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