Individual provider · Type 1 NPI

Lauretta De'veaux Henderson, BS, MS

Mental Health Counselor · Lauderdale Lakes, FL

NPI number 1245542695 Active

Practice location

3500 N State Road 7, Suite 212
Lauderdale Lakes, FL 33319-5600

Call (954) 578-8399 Map

Fax (954) 578-0145

Mailing address

5200 SW 131st Ter
Miramar, FL 33027-5415

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245542695

Lauretta De'veaux Henderson, BS, MS's National Provider Identifier is 1245542695, issued on Jul 13, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Jul 13, 2010.