Individual
MS. GENEVA ANTIONETTE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2510 CAPROCK CT, CHARLOTTE, NC 28213
(803) 378-2895
Mailing address
2510 CAPROCK CT, CHARLOTTE, NC 28213-5260
(252) 503-3572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
14530
CA
101YP2500X
Professional Counselor
4958
SC
101YP2500X
Professional Counselor
Primary
9706
NC
Other
Enumeration date
04/23/2007
Last updated
05/13/2026
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