Individual provider · Type 1 NPI

Johnastasia Lillian Henderson, MS

Mental Health Counselor · Hyde Park, MA

NPI number 1003452640 Active

Practice location

1234 Hyde Park Ave
Hyde Park, MA 02136-2819

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003452640

Johnastasia Lillian Henderson, MS's National Provider Identifier is 1003452640, issued on Nov 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hyde Park, MA. The record was last updated on Apr 14, 2025.