Individual provider · Type 1 NPI

Carly Marie Henderson, M.A., LPC, LMHC

Professional Counselor · Portland, OR

NPI number 1194017764 Active

Practice location

3407 S Corbett Ave
Portland, OR 97239-4621

Call (971) 270-0658 Map

Fax (971) 244-7268

Mailing address

1016 SE 12th Ave
Portland, OR 97214-2513

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC3645 (OR)

Professional Counselor: Definition to come...

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About NPI 1194017764

Carly Marie Henderson, M.A., LPC, LMHC's National Provider Identifier is 1194017764, issued on May 13, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Feb 21, 2024.