Individual
MR. PAUL CHRISTOPHER HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
584 MULBERRY AVE, SELMER, TN 38375-2310
(731) 646-0734
Mailing address
2183 NEW HOPE RD, GUYS, TN 38339-5133
(731) 646-0734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3378
TN
101YP2500X
Professional Counselor
Primary
3378
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13528875
CAQH
TN
05
—
1534472
—
TN
Enumeration date
04/03/2015
Last updated
06/14/2016
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