Kimberly J Henderson, MA, LMHC
Counselor, Mental Health in Olympia, WA. Individual provider (NPI-1).
NPI number1619085222
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619085222
- Entity type
- Individual (NPI-1)
- Name
- Kimberly J Henderson
- Credential
- MA, LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LH00009495 | WA | Yes |
Practice location
222 Kenyon St NwSuite 10
Olympia, WA 98502-4553
Phone 360-704-8298 · Fax 360-866-0770
Mailing address
1322 Mirada Dr NwOlympia, WA 98502-4099
Phone 360-704-8298 · Fax 360-866-0770
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