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Tiffany Henderson

Counselor, Mental Health in Alexandria, LA. Individual provider (NPI-1).

NPI number1396192597
StatusActive
Last updated in NPPESSep 14, 2016

Details

NPI
1396192597
Entity type
Individual (NPI-1)
Name
Tiffany Henderson
Sex
Female
Sole proprietor
Yes
Enumeration date
May 17, 2016
Last updated
Sep 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health8771LAYes

Practice location

710 Versailles Blvd
Alexandria, LA 71303-2351

Phone 318-449-4474

Mailing address

1024 Schilling Dr
Alexandria, LA 71303-5719

Phone 318-730-1778

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