Individual
JESSICA LEANN HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-CANDIDATE
Contact information
Practice address
504 W ATLANTA ST, BROKEN ARROW, OK 74012-7004
(919) 861-5662
Mailing address
504 W ATLANTA ST, BROKEN ARROW, OK 74012-7004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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