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Individual

TRICIA HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-MHSP

Contact information

Practice address
7352 BLACKSTONE DR, SIGNAL MOUNTAIN, TN 37377-3545
(423) 605-4758
Mailing address
7352 BLACKSTONE DR, SIGNAL MOUNTAIN, TN 37377-3545
(423) 605-4758

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3078
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3078
STATE OF TENNESSEE
TN
Enumeration date
03/18/2021
Last updated
03/18/2021
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