Individual
CHARLES HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW-AP
Contact information
Practice address
17319 GARWOOD CHASE, SAN ANTONIO, TX 78247-5839
(210) 872-4302
Mailing address
17319 GARWOOD CHASE, SAN ANTONIO, TX 78247-5839
(210) 872-4302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12720
TX
164X00000X
Licensed Vocational Nurse
99326
TX
Other
Enumeration date
05/06/2008
Last updated
06/17/2016
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