Individual
ALEXIS IRENE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 GRANDE BLVD SE, RIO RANCHO, NM 87124-1799
(505) 489-8034
Mailing address
10228 NACIMIENTO ST NW, ALBUQUERQUE, NM 87114-4456
(505) 263-9525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NM
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
09/22/2021
Last updated
06/22/2026
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