Individual provider · Type 1 NPI
Jacquelene Henderson, LMHC
Mental Health Counselor · Middletown, RI
NPI number
1164993465
Active
Practice location
809 Aquidneck Ave Ste 16
Middletown, RI 02842-5533
Mailing address
PO Box 415
Newport, RI 02840-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | MHC01001 (RI) |
Mental Health Counselor: Definition to come...
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About NPI 1164993465
Jacquelene Henderson, LMHC's National Provider Identifier is 1164993465, issued on Dec 12, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Middletown, RI. The record was last updated on Nov 11, 2025.