Individual
FELICIA M HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
12959 JUPITER RD STE 254, DALLAS, TX 75238-5250
(214) 221-0132
(214) 221-0242
Mailing address
PO BOX 765023, DALLAS, TX 75376-5023
(972) 224-1616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PMH1445
FL
101YP2500X
Professional Counselor
63920
TX
106H00000X
Marriage & Family Therapist
Primary
201553
TX
106H00000X
Marriage & Family Therapist
47495
CA
Other
Enumeration date
09/20/2006
Last updated
08/23/2019
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