Individual
MS. FODINA CHANELLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
7900 TRIAD CENTER DR, SUITE 350, GREENSBORO, NC 27409-9073
(336) 931-1823
(336) 931-1801
Mailing address
1356 NORWALK ST APT M, GREENSBORO, NC 27407-1934
(850) 557-0352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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