Amy Henderson, LCPC
Counselor, Professional in Midlothian, IL. Individual provider (NPI-1).
NPI number1972926327
StatusActive
Last updated in NPPESJan 21, 2014
Details
- NPI
- 1972926327
- Entity type
- Individual (NPI-1)
- Name
- Amy Henderson
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2014
- Last updated
- Jan 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180008943 | IL | Yes |
Practice location
4500 147th StMidlothian, IL 60445-2646
Phone 708-597-0032 · Fax 708-597-0649
Mailing address
4500 147th StMidlothian, IL 60445-2646
Phone 708-597-0032 · Fax 708-597-0649
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