Individual provider · Type 1 NPI

Martha Lynn Henshaw, B.S.

Addiction (Substance Use Disorder) Counselor · Jackson, MS

NPI number 1124118856 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Call (601) 364-1254 Map

Mailing address

28 Sandway Dr
Brandon, MS 39042-2160

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124118856

Martha Lynn Henshaw, B.S.'s National Provider Identifier is 1124118856, issued on Oct 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.