Individual
AMY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4500 147TH ST, MIDLOTHIAN, IL 60445-2646
(708) 597-0032
(708) 597-0649
Mailing address
4500 147TH ST, MIDLOTHIAN, IL 60445-2646
(708) 597-0032
(708) 597-0649
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008943
IL
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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