Individual provider · Type 1 NPI

Stephanie Michelle Renea Henderson, LPC

Mental Health Counselor · Chesapeake, VA

NPI number 1417388463 Active

Practice location

224 Great Bridge Blvd
Chesapeake, VA 23320-3904

Fax (757) 819-6292

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0701005509 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1417388463

Stephanie Michelle Renea Henderson, LPC's National Provider Identifier is 1417388463, issued on Dec 2, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chesapeake, VA. The record was last updated on Dec 2, 2013.