Individual
KENISHA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5500 MCKINNEY PLACE DR APT 109, MCKINNEY, TX 75070-2170
(773) 414-3586
Mailing address
5500 MCKINNEY PLACE DR APT 109, MCKINNEY, TX 75070-2170
(773) 414-3586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
67712
TX
225700000X
Massage Therapist
227016133
IL
225700000X
Massage Therapist
Primary
MT131288
TX
Other
Enumeration date
10/27/2016
Last updated
08/17/2023
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