Individual
IONNA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 4301, SAN RAFAEL, CA 94913-4301
(909) 906-3199
Mailing address
PO BOX 4301, SAN RAFAEL, CA 94913-4301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC-14790
CA
106H00000X
Marriage & Family Therapist
AMFT-140911
CA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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