Individual
MRS. EBONEIKA D. HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4464 DEVINE ST STE M, COLUMBIA, SC 29205-3605
(803) 714-3935
(803) 620-1044
Mailing address
4464 DEVINE ST, #1014 STE M, COLUMBIA, SC 29205
(803) 714-3935
(803) 620-1044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9186
SC
Other
Enumeration date
09/15/2023
Last updated
01/17/2024
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