Individual
ALLISSA ELLEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10350 E DAKOTA AVE STE B, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2677
CO
101YP2500X
Professional Counselor
Primary
2677
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025354
KAISER COMMERCIAL NUMBER
CO
05
—
94338833
—
CO
Enumeration date
10/09/2007
Last updated
06/23/2021
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