Individual provider · Type 1 NPI
Victoria Juanita Henderson
Professional Counselor · Palos Heights, IL
NPI number
1790420719
Active
Practice location
12939 S Mason Ave
Palos Heights, IL 60463-2346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1790420719
Victoria Juanita Henderson's National Provider Identifier is 1790420719, issued on May 3, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Palos Heights, IL. The record was last updated on Jun 14, 2022.