Individual provider · Type 1 NPI

Janis W. Henderson

Mental Health Counselor · South Glastonbury, CT

NPI number 1649487299 Active

Practice location

16 High St
South Glastonbury, CT 06033-9998

Mailing address

244 Wood Pond Rd
Glastonbury, CT 06033-3704

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001137 (CT)

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About NPI 1649487299

Janis W. Henderson's National Provider Identifier is 1649487299, issued on May 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Glastonbury, CT. The record was last updated on Jul 16, 2007.