Individual
ELIZABETH YONG HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LCDC
Contact information
Practice address
26229 N CRANES MILL RD, CANYON LAKE, TX 78133-1957
(305) 100-1658
Mailing address
10703 RR 12, WIMBERLEY, TX 78676-5239
(949) 629-0094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15785
TX
104100000X
Social Worker
Primary
112349
TX
Other
Enumeration date
12/23/2021
Last updated
09/17/2024
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