Baneca Henson, LPC
Counselor, Professional in Grand Prairie, TX. Individual provider (NPI-1).
NPI number1164055281
StatusActive
Last updated in NPPESFeb 17, 2020
Details
- NPI
- 1164055281
- Entity type
- Individual (NPI-1)
- Name
- Baneca Henson
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2020
- Certification date
- Feb 17, 2020
- Last updated
- Feb 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 70307 | TX | Yes |
Practice location
4171 Rhapsody St Apt 5311Grand Prairie, TX 75052-0236
Phone 214-498-2380
Mailing address
Po Box 180291Arlington, TX 76096-0291
Phone 214-498-2380
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