Individual provider · Type 1 NPI
Beau Henderson
Mental Health Counselor · Portland, OR
NPI number
1285221697
Active
Practice location
4531 SE Belmont St Ste 124
Portland, OR 97215-1675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1285221697
Beau Henderson's National Provider Identifier is 1285221697, issued on Dec 31, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 18, 2024.