Individual provider · Type 1 NPI

Jessica Berry Henderson, PhD, L.P.C

Professional Counselor · Boise, ID

NPI number 1306197256 Active

Practice location

3852 N Eagle Rd
Boise, ID 83713-0750

Call (208) 378-0014 Map

Mailing address

2351 S Ridge Point Way
Boise, ID 83712-8522

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4508 (ID)

Professional Counselor: Definition to come...

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About NPI 1306197256

Jessica Berry Henderson, PhD, L.P.C's National Provider Identifier is 1306197256, issued on Oct 1, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jan 27, 2021.