Individual provider · Type 1 NPI

Ethan Shane Hennesey, LPC-S

Mental Health Counselor · Richmond, TX

NPI number 1760249361 Active

Practice location

406 Edgewood Dr
Richmond, TX 77406-4010

Call (281) 726-3027 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X13364 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1760249361

Ethan Shane Hennesey, LPC-S's National Provider Identifier is 1760249361, issued on Mar 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, TX. The record was last updated on Mar 1, 2024.