Individual
CHANELLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 ELM AVE SW, ROANOKE, VA 24016-3920
(540) 701-3704
Mailing address
2107 WESTOVER AVE SW, ROANOKE, VA 24015-2215
(919) 247-0081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
10/25/2022
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