Individual provider · Type 1 NPI

Lawrence Henderson

Mental Health Counselor · Stockton, CA

NPI number 1457701344 Active

Practice location

1201 N El Dorado St
Stockton, CA 95202-1306

Call (209) 468-3760 Map

Mailing address

1212 N California St
Stockton, CA 95202-1552

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457701344

Lawrence Henderson's National Provider Identifier is 1457701344, issued on Jun 21, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Jun 21, 2016.