Individual provider · Type 1 NPI

Tanya Jo Henderson

Mental Health Counselor · Santa Ana, CA

NPI number 1821361957 Active

Practice location

2215 N Broadway, Suite 200
Santa Ana, CA 92706-2663

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1821361957

Tanya Jo Henderson's National Provider Identifier is 1821361957, issued on Feb 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Ana, CA. The record was last updated on Feb 21, 2012.