Chanelle Henderson
Counselor, Professional in Roanoke, VA. Individual provider (NPI-1).
NPI number1982004354
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1982004354
- Entity type
- Individual (NPI-1)
- Name
- Chanelle Henderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2014
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
422 Elm Ave SwRoanoke, VA 24016-3920
Phone 540-701-3704
Mailing address
2107 Westover Ave SwRoanoke, VA 24015-2215
Phone 919-247-0081
Other practice locations
1321 Wilkinson St
Orlando, FL 32803-1140
Orlando, FL 32803-1140
Phone 407-270-0433
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