Individual
JESSE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
1185 W MOUNTAIN VIEW RD APT 1315, JOHNSON CITY, TN 37604-2530
(434) 250-3044
Mailing address
1185 W MOUNTAIN VIEW RD APT 1315, JOHNSON CITY, TN 37604-2530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000005718
TN
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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