Individual provider · Type 1 NPI

Kimberly E. Henry

Mental Health Counselor · Roseburg, OR

NPI number 1801362322 Active

Practice location

3005 NE Diamond Lake Blvd
Roseburg, OR 97470-3609

Fax (541) 266-0874

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801362322

Kimberly E. Henry's National Provider Identifier is 1801362322, issued on Oct 23, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Mar 21, 2024.