Individual provider · Type 1 NPI

Peter Mahlon Henderson

Mental Health Counselor · Jamaica Plain, MA

NPI number 1700491024 Active

Practice location

157 Green St
Jamaica Plain, MA 02130-2667

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700491024

Peter Mahlon Henderson's National Provider Identifier is 1700491024, issued on Sep 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamaica Plain, MA. The record was last updated on Sep 14, 2020.