Individual provider · Type 1 NPI

Diana Marie Henderson

Mental Health Counselor · Tigard, OR

NPI number 1275158248 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1275158248

Diana Marie Henderson's National Provider Identifier is 1275158248, issued on Jun 15, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Jun 15, 2020.