Individual provider · Type 1 NPI

Fanita Sanders Henderson

Mental Health Counselor · Rockville Centre, NY

NPI number 1619217650 Active

Practice location

100 N Village Ave, Suite 17
Rockville Centre, NY 11570-3767

Fax (516) 330-0870

Mailing address

793 E Carl Ave
North Baldwin, NY 11510-1902

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X004277 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1619217650

Fanita Sanders Henderson's National Provider Identifier is 1619217650, issued on Feb 28, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rockville Centre, NY. The record was last updated on Feb 28, 2013.